Epidural angiolipoma - lumbar spine

Case contributed by Dr Ammar Haouimi

Presentation

Low back pain radiating to the right leg.

Patient Data

Age: 65 years
Gender: Female
MRI

Lumbar spine

The MRI sequences demonstrate a posterior epidural mass at L2-L3 level, of high signal intensity on both T1WI/T2WI, partially attenuated on STIR sequence with moderate heterogeneous enhancement on postcontrast sequences. A mass effect is noted on the adjacent nerve roots which are displaced anteriorly.

Lumbar disc disease with disc herniation on the right side at the L4-S1 level, compressing the adjacent S1 nerve root.

Case Discussion

MRI features are most consistent of an epidural angiolipoma, displacing the adjacents nerve roots (incidental finding) in a patient with disc herniation.

 

Additional contributor/ C. Boukaaba, MD

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Case information

rID: 71037
Published: 17th Sep 2019
Last edited: 25th Sep 2019
System: Spine
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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