Abstract
From our recent experience, we report a case of spinal extradural angiolipoma, which is an extremely rare spinal tumor.
The case was a 67-year-old man presenting spastic gait, numbness of both lower extremities and dysuria. Physical findings in the first examination were hypalgesia and vibratory hyposensitibity below thoracic myelomere 8 level, hyperreflexia and pathologic reflex of lower extremities as well as muscular weakness of right lower extremity. High signal spindle-type occupying lesions at the Th5∼Th6 level was found in sagittal plane of simple MRI and in T1-weighed images. These findings were more clearly revealed by enhanced-MRI. Forward-shift of dura matter by pressing from behind was also noted by CTM.
From the above, the case was diagnosed as spinal extradural tumor at the Th5∼Th6 level and was put on tumorectomy. Pathohistologically, diagnosis was made as angiolipoma, and these MRI·CTM findings in the present case are thought characteristic of the present disease.
