Weakness of left upper and lower limbs.
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An extra-axial epidural posterior spinal lesion is seen. It appears hyperintense on T2 and T1. It is partially suppressed on T1 fat sat (owing to it containing vascular component in fat). It lies opposite C5 down to T1.
Spinal angiolipomas are benign uncommon neoplasm composed of mature lipocytes admixed with abnormal blood vessels. Prior to diagnosis 40.6% of the patients had weakness of lower limbs.