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Case Reports
. 2014 May 19:2014:bcr2014204379.
doi: 10.1136/bcr-2014-204379.

Spinal angiolipoma manifesting with apoplexy

Raghvendra Vijayrao Ramdasi  1 , K M Avinasha  1 , Amit Mahore  1 , Juhi Kawale  2
Affiliations
Case Reports

Spinal angiolipoma manifesting with apoplexy

Raghvendra Vijayrao Ramdasi et al. BMJ Case Rep. .

Abstract

We report a 58-year-old man presenting with acute paraplegia. MRI showed a haematoma within a well-defined epidural lesion at C7-D1. Intraoperatively, organised epidural haematoma surrounded by tumour tissue was found. The final histopathology report was angiolipoma. The patient had dramatic recovery. Angiolipomas should be considered in the differential diagnosis of acute paraplegia when imaging shows well-circumscribed haematoma.

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Figures

Figure 1
Figure 1
MRI sagittal scan of the cervicodorsal region. (A)T1-weighted image showing a biconvex extradural lesion of heterogeneous intensity compressing the spinal cord at C7 and D1 level (B) T2-weighted image showing an oval lesion with hyperintense core and heterogeneous periphery compressing the cord. (C) Postgadolinium T1-weighted image showing heterogeneous contrast enhancement in the peripheral part of the lesion.
Figure 2
Figure 2
Histopathological photomicrograph showing mature adipocytes (shown by arrow) and small–medium calibre blood vessels (shown by triangle) suggestive of angiolipoma (H&E stain, A ×10, B ×40).
See this image and copyright information in PMC

References

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