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Spontaneous epidural hematoma due to cervico-thoracic angiolipoma
Affiliation:1. M.V. Lomonosov Moscow State University, Faculty of Geography, Leninskie gory 1, 119991 Moscow, Russia;2. Institute of Geography of Russian Academy of Science, Staromonetny lane, 29, 119017 Moscow, Russia;3. Penza State University, Department of Zoology and Ecology, Krasnaya str., 40, 440026 Penza, Russia;4. Tula State University, Department of Biotechnology, Lenin avenue, 92, 300600 Tula, Russia;5. Environment Department, University of York, Heslington, York YO10 5DD, United Kingdom
Abstract:Epidural angiolipomas are uncommon benign tumors of the spine. Their clinical presentation is usually a progressive spinal cord compression. We report the case of a 22-year-old patient who presented with an acute paraparesis and a spontaneous epidural hematoma, which revealed a epidural angiolipoma which extended from C7 to T3. The patient underwent a C7–T3 laminectomy, in emergency, with evacuation of the hematoma and extradural complete resection of a fibrous epidural tumor bleeding. The postoperative course was favorable with regression of neurological symptoms. Epidural angiolipomas can be revealed by spontaneous intratumoral hemorrhage without traumatism. The standard treatment is total removal by surgery.
Keywords:Angiolipoma  Epidural spinal tumor  Spinal cord compression  Spinal epidural hematoma  Angiolipome  Compression médullaire  Hématome épidural  Tumeur épidurale rachidienne
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