ABSTRACT
We report the case of a young patient with a thoracolumbar (T11-L3) intramedullary angiolipoma. Total removal of the tumor was possible and after operation the patient's neurological condition greatly improved. Only two previous cases of intramedullary angiolipomas have been reported, and in neither could the lesion be wholly removed. The histopathological and radiological features of these tumors are discussed and the extreme rareness of this case is emphasized.
Subject(s)
Angiolipoma/diagnosis , Lumbar Vertebrae , Spinal Neoplasms/diagnosis , Thoracic Vertebrae , Angiolipoma/surgery , Child , Female , Humans , Laminectomy , Spinal Neoplasms/surgeryABSTRACT
Dumbbell neurogenic tumors are unusual in children. The authors report an extremely rare case of cervical intraspinal ganglioneuroma with a contiguous paravertebral component in an eighteen month old female patient. Both the intraspinal and the extraspinal parts of the dumbbell tumor were totally removed during the same surgical session. A laminotomy was performed rather than a laminectomy in order to avoid postoperative spinal column deformation. The authors emphasize the importance of an early diagnosis in preventing irreversible neurosurgical abnormalities and for achieving better surgical results.
