Epidural angiolipoma and Andersson lesion: A rare co-occurence—A case report and literature review

Autor: Selvin Prabhakar Vijayan, Christopher Gerber, Anindya Basu, Garga Basu, Radhika Mhatre
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Indian Spine Journal, Vol 5, Iss 2, Pp 235-240 (2022)
Druh dokumentu: article
ISSN: 2589-5079
2589-5087
DOI: 10.4103/isj.isj_47_21
Popis: Spinal angiolipomas (SALs) are very rare benign extradural neoplasms, representing 0.14%–1.2% of all spinal tumors. Andersson lesion is a localized vertebral or disco-vertebral lesion in ankylosing spondylitis. Co-occurrence of these lesions is very rare and has never been reported. We are reporting one such case of a 61-year-old man presented with features of dorsal compressive myelopathy. On magnetic resonance imaging (MRI), he was diagnosed to have a SAL at D6–D9 and Andersson lesion at D7–D8 and L1–L2. He was managed surgically with a long-segment fixation and decompression and gross total excision of the tumor. Diagnosis of a SAL was confirmed in a biopsy, and postoperatively, he showed good clinical improvement. In conclusion, given the rarity of co-occurrence of these pathologies, a strong clinical suspicion is required. MRI and CT scan help in diagnosis. Both these pathologies warrant surgical management. When diagnosed early and managed appropriately, they have a good prognosis.
Databáze: Directory of Open Access Journals
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