Thoracic epidural angiolipoma: A case report and review of the literature

Table 1 Reported cases of spinal extradural angiolipomas performed with magnetic resonance imaging

Ref.	Age (yr)	Sex	Clinical presentation (signs/duration)	MRI finding (T1/T2, post-contrast)	Pathological finding
Turgut et al[1]	26	F	Acute onset of paraplegia, in week 31 of pregnancy	T1 and T2: Hyperintense	Angiolipoma
Diyora et al[6]	20	M	Upper abdominal pain/6 mo, and lower limb weakness/1 wk	Isointense/hyperintense; enhancement	Angiolipoma
Turgut et al[9]	54	F	Weakness, urinary incontinence, and constipation/5 mo	Very hyperintense/nearly isointense	Angiolipoma
Akhaddar et al[10]	47	M	Sudden back pain, paresthesia and complete neurological palsy/a few-minutes period	Isointense/slightly hyperintense; no gadolinium enhancement	Angiolipoma
Park et al[11]	74	F	Lower back pain/5 mo	Low signal intensity/iso-or high signal intensity; High signal intensity after gadolinium injection	Angiolipoma
Provenzale et al[12]	38	F	Lower back pain/3 yr	Moderately hypointense/nearly isointense; Slightly inhomogeneous enhancement	Angiolipoma
	61	F	Paraparesis/2 yr	T1: Slightly hypointense; Inhomogeneous enhancement	Angiolipoma
	42	F	Midthoracic back pain/2 yr	Iso-hypo-intense/nearly isointense	Angiolipoma
Leu et al[15]	81	M	Unstable gait, and lower limbs weakness/2 wk	Inhomogeneous hypointensity/high signal intensity; Strongly enhanced	Angiolipoma
Yen et al[16]	71	M	Acute paraparesis	T1: Homogeneously hyphointense	Angiolipoma
Fourney et al[17]	46	F	Feet and legs numbness/4 yr	Homogeneously hyperintense/hyperintense; enhanced	Angiolipoma
Shibata et al[18]	38	F	Paraparesis/6 mo	T1 and T2: High-intensity signal	Angiolipoma
Bouramas et al[19]	27	F	Diminution sensation/2 mo	Heterogeneous signal intensity/high signal intensity	Angiolipoma
Boockvar et al[20]	34	F	Interscapular back pain/5 mo	Hyperintense/hyperintense; Enhanced homogeneously	Angiolipoma
Amlashi et al[21]	36	M	Back pain, and both legs weakness	T1 and T2: Homogenous, hyperintense	Angiolipoma
Garg et al[22]	12	F	Paraparesis/the previous year	Hyperintensity/hyperintensity; Heterogeneous contrast enhancement	Angiolipoma
	26	M	Paraparesis/3 mo	T1 and T2: Homogeneous high signal intensity; contrast enhancement	Angiolipoma
	28	M	Bowel and bladder impairment, paraparesis/the previous year	T1 and T2: Homogeneously hyperintense	Angiolipoma
do Souto et al[23]	46	F	Low back pain/10 yr	Isointense/hyperintense; Homogeneous and intense enhancement	Angiolipoma
Rabin et al[24]	47	M	Legs paresthesias/6 mo	T1 and T2: High signal	Angiolipoma
Samdani et al[25]	49	F	Back pain, lower extremity weakness/3 yr	Intermediate-signal intensity/hyperintensity; homogenous contrast enhancement	Angiolipoma
Dogan et al[26]	50	F	Lumbosciatalgia/2 yr	Isointense/hyperintense; Homogeneous enhancement	Angiolipoma
	36	M	Low back pain/8 mo	Isointense/hyperintense; Homogeneous enhancement	Angiolipoma
Guzey et al[27]	41	F	Low back and leg pain/18 mo	Iso-hyperintense/hyperintense; homogeneously enhanced	Angiolipoma
Hungs et al[28]	52		Thoracolumbar pain/1.5 yr	T1: Hyperintense; Diffusely intense enhancement	Angiolipoma
Sankaran et al[29]	77	M	Paraparesis/48 h	Isointense/inhomogeneous hyperintensity; Inhomogeneous enhancement	Angiolipoma
Weill et al[33]	46	F	Paraparesis/1 yr	Iso-hypointensities/mixed signal	Angiolipoma
	27	F	Right leg weak/several week	Very-hyperintense/mixed-signal; Inhomogeneous enhancement	Angiolipoma
Gelabert-González et al[34]	16	M	Low back pain/6 mo	Slightly inhomogeneous/heterogeneously hypointense	Angiolipoma
	45		Both feet numbness, and leg weakness/6 mo	T1 and T2: Moderately hyperintense relative to spinal cord	Angiolipoma
Sakaida et al[36]	72	M	Legs abnormal sensation/4 mo	Inhomogeneous enhancement	Angiolipoma
Oge et al[37]	72	M	Paraparesis/4 d	T1: Hyperintense	Angiolipoma
al-Anazi et al[38]	38	F	Both feet numbness, 8-mo pregnant housewife	T1: Hyperintense	Angiolipoma
Gelabert-González et al[39]	4	M	Back pain, and both legs weakness/2 d	T1: Mixed-intensity	Angiolipoma
Rocchi et al[40]	60	M	Lumbosciatalgia/2 yr	T1: Signal intensity similar to that of the subcutaneous adipose tissue	Angiolipoma
	54	F	Lumbosciatalgia/12 mo	Homogeneous contrast enhancement	Angiolipoma
Chotai et al[41]	69	M	Back pain, paresthesias, and hypesthesia/5 yr	T1: Slightly high intensity with areas of hypointensity; Inhomogeneous enhancement	Angiolipoma
Konya et al[42]	60	F	Low back pain/6 mo	T1: Hyperintense; marked enhancement	Angiolipoma
Current study	63	M	Lower extremities numbness/1 yr	Isointense/slightly hyperintense; Obviously inhomogeneous enhancement	Angiolipoma

Age, sex, clinical presentation, magnetic resonance imaging findings, and pathological findings are shown for each case. Authors and year of publication are shown for each case reported. F: Female; M: Male.