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Spinal Angiolipoma: Diagnosis and Treatment

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Tumors of the Central Nervous System, Volume 10

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 10))

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Abstract

Spinal angiolipomas are benign uncommon neoplasms originating in mesenchymal tissue, and are composed of mature lipocytes admixed with abnormal blood vessels. Angiolipomas frequently develop in the epidural space of the spine and more rarely in the orbit, the cavernous spaces, thalamus, and account for only 0.04–1.2% of all spinal tumors. These neoplasms can be categorized into two subtypes: non-infiltrating and infiltrating. The former is more common and remains confined to the epidural space whereas the latter invades the contiguous bone and adjacent soft tissues.

Spinal angiolipomas are predominantly located in the mid-thoracic region; hence, most patients present slowly progressive signs of spinal cord compression secondary to epidural mass. Angiolipomas show iso- or hyperintensity on T1-weighted images and hyperintensity on T2-weighted images, and most lesions enhance with gadolinium administration. The treatment for spinal extradural angiolipomas is surgical resection. Complete removal of an epidural non-infiltrating angiolipoma is possible in most cases and the prognosis is excellent and no adjuvant therapy should be administered. For infiltrating neo plasms complete removal may entail complications due to heavy bleeding.

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Authors and Affiliations

  1. Department of Neurosurgery, University of Santiago de Compostela, Santiago de Compostela, Spain

    Miguel Gelabert-González, Ramón Serramito-Garcia & Eduardo Aran-Echabe

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  1. Miguel Gelabert-González
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  2. Ramón Serramito-Garcia
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  3. Eduardo Aran-Echabe
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Correspondence to Miguel Gelabert-González .

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  1. , Kean University, Room 213, Library building, Morris Avenue 1000, Union, 07083, New Jersey, USA

    M.A. Hayat

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Gelabert-González, M., Serramito-Garcia, R., Aran-Echabe, E. (2013). Spinal Angiolipoma: Diagnosis and Treatment. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 10. Tumors of the Central Nervous System, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5681-6_28

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  • DOI: https://doi.org/10.1007/978-94-007-5681-6_28

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-5680-9

  • Online ISBN: 978-94-007-5681-6

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