Case reportSpinal angiolipoma with acute subarachnoid hemorrhage
Introduction
Spinal angiolipoma is a rare tumor of the spinal axis. It usually presents with features of compressive myelopathy.1 Subarachnoid hemorrhage (SAH) from spinal angiolipoma has not previously been reported.
Section snippets
Case report
A 14-year-old boy presented with acute-onset back and nuchal pain, with opisthotonic posturing and bifrontal headache of 6 days’ duration. He had mild non-progressive limping gait for the past 8 years. He had also undergone surgical correction of coarctation of aorta 2 years previously. On examination he was febrile, his blood pressure was 174/100 mmHg in the upper limbs, 190/100 mmHg in the lower limbs and he had grade II hypertensive retinopathy changes. There was severe neck rigidity,
Discussion
Spinal angiolipomas are rare benign tumors of the spine, accounting for about 0.04–1.2% of all spinal tumors.1 Angiolipomas are extremely rare in children with only a few cases reported in the literature.[1], [2], [3] Spinal angiolipomas commonly occur in the mid-thoracic region, are predominantly epidural and only less than 5% are intramedullary.4
While the more common non-infiltrating angiolipomas are located mainly in the posterior epidural space, infiltrating angiolipomas are generally seen
References (10)
- et al.
Spinal angiolipomas: report of three cases
J Neurosurg
(1993) Spinal angiolipomas: report of a case and review of the cases published since the discovery of the tumour in 1890
Br J Neurosurg
(1999)- et al.
Spinal extradural angiolipoma, with a literature review
Childs Nerv Syst
(2002) - et al.
Pathology of Tumors of the Nervous System
(1989) - et al.
Spinal extrathecal hemangiolipomas: report of two cases and review of the literature
Neurosurgery
(1982)
Cited by (8)
Spinal angiolipoma in a pregnant woman presenting with acute epidural hemorrhage
2011, Journal of Clinical NeuroscienceCitation Excerpt :The common initial symptoms were progressive or sudden paraparesis, thoracic or lumbar pain, and diverse sensory disturbances.1,2 Pregnancy was assumed to be an aggravating factor for epidural SA in 15.5% of the 77 female patients reported.1,2,4–10 In rare instances, SA manifested as acute epidural or subarachnoid hemorrhage in non-pregnant patients.
Spinal angiolipoma: Presentation of two cases and review of the literature for the years 2012–2017
2020, NeurocirugiaCitation Excerpt :In addition, due to the benign and slow-growing nature of the mass, most patients present with tumours extending up to four vertebral bodies2 and with signs and symptoms of spinal cord compression. Nevertheless rare cases of paraplegia or paraparesis because of spontaneous epidural16–18 or subarachnoid haematomas19 or even intratumoural abscesses20 have also been reported as initial clinical presentations of the mass. Occasionally, the tumour may infiltrate the vertebral bodies or the adjacent soft tissues, a condition which is more common in masses of the anterior compartment.21
Thoracic epidural spinal angiolipoma with coexisting lumbar spinal stenosis: Case report and review of the literature
2015, International Journal of Spine SurgerySpinal angiolipoma manifesting with apoplexy
2014, BMJ Case ReportsIntranodal angiolipoma
2011, Saudi Medical JournalTraumatic bleeding of spinal angiolipoma presenting with subacute paraparesis - A case report and histopathological aspects
2010, British Journal of Neurosurgery