Korean Journal of Radiology

  • 제14권5호
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  • Pages.810-817
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  • 2013
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

MRI Features of Spinal Epidural Angiolipomas

  • Hu, Su (Department of Radiology, The First Affiliated Hospital of Soochow University) ;
  • Hu, Chun-Hong (Department of Radiology, The First Affiliated Hospital of Soochow University) ;
  • Hu, Xiao-Yun (Department of Radiology, Wuxi People's Hospital Affiliated to Nanjing Medical University) ;
  • Wang, Xi-Ming (Department of Radiology, The First Affiliated Hospital of Soochow University) ;
  • Dai, Hui (Department of Radiology, The First Affiliated Hospital of Soochow University) ;
  • Fang, Xiang-Ming (Department of Radiology, Wuxi People's Hospital Affiliated to Nanjing Medical University) ;
  • Cui, Lei (Department of Radiology, The Second Affiliated Hospital of Nantong University)
  • 투고 : 2012.10.12
  • 심사 : 2013.06.11
  • 발행 : 2013.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: To describe the MRI findings in ten patients of spinal epidural angiolipoma for differentiated diagnosis presurgery. Materials and Methods: Ten surgically proved cases of spinal epidural angiolipomas were retrospectively reviewed, and the lesion was classified according to the MR findings. Results: Ten tumors were located in the superior (n = 4), middle (n = 2), or inferior (n = 4) thoracic level. The mass, with the spindle shape, was located in the posterior epidural space and extended parallel to the long axis of the spine. All lesions contained a fat and vascular element. The vascular content, correlating with the presence of hypointense regions on T1-weighted imaging (T1WI) and hyperintense signals on T2-weighted imaging, had marked enhancement. However, there were no flow void signs on MR images. All tumors were divided into two types based on the MR features. In type 1 (n = 3), the mass was predominantly composed of lipomatous tissue (> 50%) and contained only a few small angiomatous regions, which had a trabeculated or mottled appear. In type 2 (n = 7), the mass, however, was predominantly composed of vascular components (> 50%), which presented as large foci in the center of the mass. Conclusion: Most spinal epidural angiolipomas exhibit hyperintensity on T1WI while the hypointense region on the noncontrast T1WI indicates to be vascular, which manifests an obvious enhancement with gadolinium administration.

키워드

참고문헌

  1. Preul MC, Leblanc R, Tampieri D, Robitaille Y, Pokrupa R. Spinal angiolipomas. Report of three cases. J Neurosurg 1993;78:280-286 https://doi.org/10.3171/jns.1993.78.2.0280
  2. Samdani AF, Garonzik IM, Jallo G, Eberhart CG, Zahos P. Spinal angiolipoma: case report and review of the literature. Acta Neurochir (Wien) 2004;146:299-302; discussion 302 https://doi.org/10.1007/s00701-003-0196-x
  3. Nanassis K, Tsitsopoulos P, Marinopoulos D, Mintelis A, Tsitsopoulos P. Lumbar spinal epidural angiolipoma. J Clin Neurosci 2008;15:460-463 https://doi.org/10.1016/j.jocn.2006.11.021
  4. Ghanta RK, Koti K, Dandamudi S. Spinal epidural angiolipoma: a rare cause of spinal cord compression. J Neurosci Rural Pract 2012;3:341-343 https://doi.org/10.4103/0976-3147.102617
  5. Berenbruch K. Ein Fall von multiple Angio-lipomen kombiniert mit einem Angiom des Ruckenmarks. Tibingen: 1890
  6. Fourney DR, Tong KA, Macaulay RJ, Griebel RW. Spinal angiolipoma. Can J Neurol Sci 2001;28:82-88
  7. Haddad FS, Abla A, Allam CK. Extradural spinal angiolipoma. Surg Neurol 1986;26:473-486 https://doi.org/10.1016/0090-3019(86)90261-2
  8. Walsh JW, Markesbery WR. Histological features of congenital lipomas of the lower spinal canal. J Neurosurg 1980;52:564-569 https://doi.org/10.3171/jns.1980.52.4.0564
  9. Thomas JE, Miller RH. Lipomatous tumors of the spinal canal. A study of their clinical range. Mayo Clin Proc 1973;48:393-400
  10. Shibata Y, Sugimoto K, Matsuki T, Nose T. Thoracic epidural angiolipoma--case report. Neurol Med Chir (Tokyo) 1993;33:316-319 https://doi.org/10.2176/nmc.33.316
  11. Petrella G, Tamburrini G, Lauriola L, Di Rocco C. Spinal epidural angiolipoma complicated by an intratumoral abscess. Case report. J Neurosurg 2005;103(2 Suppl):166-169
  12. Shuangshoti S, Hongsaprabhas C. Intraspinal epidural angiolipoma. J Med Assoc Thai 1979;62:457-460
  13. Poon TP, Behbahani M, Matoso IM, Katz MA, Pearl M. Epidural angiolipoma with spinal cord compression. J Natl Med Assoc 1988;80:347-349
  14. Hungs M, Pare LS. Spinal angiolipoma: case report and literature review. J Spinal Cord Med 2008;31:315-318
  15. Provenzale JM, McLendon RE. Spinal angiolipomas: MR features. AJNR Am J Neuroradiol 1996;17:713-719
  16. Gelabert-Gonzalez M, Garcia-Allut A. Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J 2009;18:324-335 https://doi.org/10.1007/s00586-008-0858-8
  17. Sakaida H, Waga S, Kojima T, Kubo Y, Matsubara T, Yamamoto J. Thoracic spinal angiomyolipoma with extracanal extension to the thoracic cavity. A case report. Spine (Phila Pa 1976) 1998;23:391-394 https://doi.org/10.1097/00007632-199802010-00022
  18. Turgut M. Spinal angiolipomas: report of a case and review of the cases published since the discovery of the tumour in 1890. Br J Neurosurg 1999;13:30-40 https://doi.org/10.1080/02688699944159
  19. Leu NH, Chen CY, Shy CG, Lu CY, Wu CS, Chen DC, et al. MR imaging of an infiltrating spinal epidural angiolipoma. AJNR Am J Neuroradiol 2003;24:1008-1011
  20. Akhaddar A, Albouzidi A, Elmostarchid B, Gazzaz M, Boucetta M. Sudden onset of paraplegia caused by hemorrhagic spinal epidural angiolipoma. A case report. Eur Spine J 2008;17 Suppl 2:S296-S298 https://doi.org/10.1007/s00586-008-0591-3
  21. Weill A, del Carpio-O'Donovan R, Tampieri D, Melanson D, Ethier R. Spinal angiolipomas: CT and MR aspects. J Comput Assist Tomogr 1991;15:83-85 https://doi.org/10.1097/00004728-199101000-00011
  22. Kujas M, Lopes M, Lalam TF, Fohanno D, Poirier J. Infiltrating extradural spinal angiolipoma. Clin Neuropathol 1999;18:93-98
  23. Zhong W, Huang S, Chen H, Sun H, Cai B, Liu Y, et al. Pure spinal epidural cavernous hemangioma. Acta Neurochir (Wien) 2012;154:739-745 https://doi.org/10.1007/s00701-012-1295-3

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