ABSTRACT

We present a case with an angiolipoma settled in lumbar spinal epidural region. A 49-year-old woman was admitted to hospital with a 4-month history of low back and right leg pain. The patient also referred numbness and hyperesthesia in the inner surface of thigh. Neurologic examination revealed femoral stretch test was positive at 45° on the right side; right hip flexion was in +4/5 muscle strength. Sensory impairment was noted on the right L1-2 level. A lumbosacral MRI showed a mass lesion in the neural foramen of L1-2 on the right side. The mass was excised; and histological study of the specimen revealed an angiolipoma. Spinal angiolipomas are rare bening tumors of the epidural space. Pure lumbar localization is extremely rare. A spinal extradural angiolipoma should be considered in a patient who had chronic radiculopathy when MRI revealed a mass lesion. Treatment of choice is total removal.