Journal Information
Vol. 27. Issue 5.
Pages 258-262 (September - October 2016)
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Vol. 27. Issue 5.
Pages 258-262 (September - October 2016)
Caso clínico
Angiolipoma epidural lumbar
Lumbar spinal angiolipoma
Alberto Isla
Corresponding author
eislapa@mixmail.com

Autor para correspondencia.
, Rodrigo Ortega Martinez, Carlos Pérez López, Alvaro Gómez de la Riva, Beatriz Mansilla
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España
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Resumen

Los angiolipomas espinales son tumores de carácter benigno poco frecuentes que habitualmente se localizan en el espacio epidural de la columna torácica y que representan del 0,14 al 1,2% de todos los tumores espinales. Los angiolipomas lumbares son aún más infrecuentes, representando solo el 9,6% de todos los angiolipomas extradurales.

Presentamos el caso de una mujer que refería dolor lumbar de varios meses de evolución, que se intensificó en los 3 últimos días, sin antecedentes de traumatismo ni esfuerzo físico y que no presentaba déficit neurológico. En la resonancia magnética se apreciaba una masa extradural a nivel lumbar L1-L2 y de localización posterior que producía una disminución del diámetro anteroposterior del canal medular. La paciente después de la cirugía mejoró su sintomatología.

En la mayoría de los casos es posible realizar una extirpación total de la lesión, siendo el pronóstico excelente incluso si la lesión es infiltrante. Por ello se aconseja no adoptar una actitud quirúrgica excesivamente agresiva de cara a conseguir una resección completa.

Palabras clave:
Angiolipoma
Tumor espinal epidural
Resección radical
Abstract

Spinal angiolipomas are fairly infrequent benign tumours that are usually located in the epidural space of the thoracic column and represent 0.14% to 1.3% of all spinal tumours. Lumbar angiolipomas are extremely rare, representing only 9.6% of all spinal extradural angiolipomas.

We report the case of a woman who complained of a lumbar pain of several months duration with no neurological focality and that had intensified in the last three days without her having had any injury or made a physical effort. The MR revealed an extradural mass L1-L2, on the posterior face of the medulla, decreasing the anteroposterior diameter of the canal. The patient symptoms improved after surgery.

Total extirpation of the lesion is possible in most cases, and the prognosis is excellent even if the lesion is infiltrative. For this reason, excessively aggressive surgery is not necessary to obtain complete resection.

Keywords:
Angiolipoma
Spinal epidural tumour
Radical resection

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