Epidural angiolipoma

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Four-month history of bilateral lower limb progressive numbness and weakness. Background of intermittent thoracic back pain for years.

Patient Data

Age: 40 years
Gender: Female
mri
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Sagittal
T1
This study is a stack
Axial
T1
This study is a stack
Sagittal
T1 C+
This study is a stack
Axial
T1 C+
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Info

A dorsally situated extradural mass extends from the level of the body of T11 to the level of the L1/2 intervertebral disc space with compression of the cord and conus. 

The lesion demonstrates heterogeneous T1 and T2 signal with some intrinsic high T1 signal and moderate heterogeneous contrast enhancement. No bone destruction. 

Case Discussion

The patient went on to have a resection that confirmed the diagnosis of epidural angiolipoma. She has been followed up for 10 years with no recurrence.

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