Acute paraplegia by spinal angiolipoma. Case report and literature review

Detalhes bibliográficos
Autor(a) principal: Bovier,Enrique Gonzalo
Data de Publicação: 2014
Outros Autores: Gardino,Emiliano, Chemes,Lucas Nicolás, Nogueira,Federico, Romero,Verónica Diana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Coluna/Columna
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000200147
Resumo: Spinal angiolipoma is an uncommon form of benign tumor. There are 142 reported cases and only one of acute paraplegia. We describe a case of a 39 year old male with acute spinal paraplegia angiolipoma in T4-T5 with surgical resolution three weeks after the onset of the neurological syndrome. Postoperative neurologic recovery was complete. The angiolipoma consists of mature fat cells and abnormal blood vessels. There are 2 types: non-infiltrating and infiltrating. Its clinical course is slow and progressive, it can be accelerated by vascular phenomena, intratumoral abscess, and pregnancy. There is just one report of spontaneous intratumoral hemorrhage and acute paraplegia, coinciding with our case. There is no consensus as to treatment, and release and complete resection are suggested, as it is a disease with good prognosis. Angiolipoma spinal epidural is a rare form of benign tumor, and the treatment of this pathology continues to be release and resection of the tumor, with a favorable prognosis, despite the delay in surgery, as in the case reported. Intratumoral bleeding should be considered a cause of acute spinal compression syndrome, as ocurred in our patient.
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spelling Acute paraplegia by spinal angiolipoma. Case report and literature reviewAngiolipomaSpinal cord compressionSpinal cord neoplasmsParaplegiaSpinal angiolipoma is an uncommon form of benign tumor. There are 142 reported cases and only one of acute paraplegia. We describe a case of a 39 year old male with acute spinal paraplegia angiolipoma in T4-T5 with surgical resolution three weeks after the onset of the neurological syndrome. Postoperative neurologic recovery was complete. The angiolipoma consists of mature fat cells and abnormal blood vessels. There are 2 types: non-infiltrating and infiltrating. Its clinical course is slow and progressive, it can be accelerated by vascular phenomena, intratumoral abscess, and pregnancy. There is just one report of spontaneous intratumoral hemorrhage and acute paraplegia, coinciding with our case. There is no consensus as to treatment, and release and complete resection are suggested, as it is a disease with good prognosis. Angiolipoma spinal epidural is a rare form of benign tumor, and the treatment of this pathology continues to be release and resection of the tumor, with a favorable prognosis, despite the delay in surgery, as in the case reported. Intratumoral bleeding should be considered a cause of acute spinal compression syndrome, as ocurred in our patient.Sociedade Brasileira de Coluna2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000200147Coluna/Columna v.13 n.2 2014reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/S1808-18512014130200403info:eu-repo/semantics/openAccessBovier,Enrique GonzaloGardino,EmilianoChemes,Lucas NicolásNogueira,FedericoRomero,Verónica Dianaeng2015-08-18T00:00:00Zoai:scielo:S1808-18512014000200147Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2015-08-18T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false
dc.title.none.fl_str_mv Acute paraplegia by spinal angiolipoma. Case report and literature review
title Acute paraplegia by spinal angiolipoma. Case report and literature review
spellingShingle Acute paraplegia by spinal angiolipoma. Case report and literature review
Bovier,Enrique Gonzalo
Angiolipoma
Spinal cord compression
Spinal cord neoplasms
Paraplegia
title_short Acute paraplegia by spinal angiolipoma. Case report and literature review
title_full Acute paraplegia by spinal angiolipoma. Case report and literature review
title_fullStr Acute paraplegia by spinal angiolipoma. Case report and literature review
title_full_unstemmed Acute paraplegia by spinal angiolipoma. Case report and literature review
title_sort Acute paraplegia by spinal angiolipoma. Case report and literature review
author Bovier,Enrique Gonzalo
author_facet Bovier,Enrique Gonzalo
Gardino,Emiliano
Chemes,Lucas Nicolás
Nogueira,Federico
Romero,Verónica Diana
author_role author
author2 Gardino,Emiliano
Chemes,Lucas Nicolás
Nogueira,Federico
Romero,Verónica Diana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bovier,Enrique Gonzalo
Gardino,Emiliano
Chemes,Lucas Nicolás
Nogueira,Federico
Romero,Verónica Diana
dc.subject.por.fl_str_mv Angiolipoma
Spinal cord compression
Spinal cord neoplasms
Paraplegia
topic Angiolipoma
Spinal cord compression
Spinal cord neoplasms
Paraplegia
description Spinal angiolipoma is an uncommon form of benign tumor. There are 142 reported cases and only one of acute paraplegia. We describe a case of a 39 year old male with acute spinal paraplegia angiolipoma in T4-T5 with surgical resolution three weeks after the onset of the neurological syndrome. Postoperative neurologic recovery was complete. The angiolipoma consists of mature fat cells and abnormal blood vessels. There are 2 types: non-infiltrating and infiltrating. Its clinical course is slow and progressive, it can be accelerated by vascular phenomena, intratumoral abscess, and pregnancy. There is just one report of spontaneous intratumoral hemorrhage and acute paraplegia, coinciding with our case. There is no consensus as to treatment, and release and complete resection are suggested, as it is a disease with good prognosis. Angiolipoma spinal epidural is a rare form of benign tumor, and the treatment of this pathology continues to be release and resection of the tumor, with a favorable prognosis, despite the delay in surgery, as in the case reported. Intratumoral bleeding should be considered a cause of acute spinal compression syndrome, as ocurred in our patient.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000200147
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1808-18512014130200403
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Coluna
publisher.none.fl_str_mv Sociedade Brasileira de Coluna
dc.source.none.fl_str_mv Coluna/Columna v.13 n.2 2014
reponame:Coluna/Columna
instname:Sociedade Brasileira de Coluna (SBCO)
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repository.mail.fl_str_mv coluna.columna@uol.com.br||revistacoluna@uol.com.br
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