{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:10:50Z","timestamp":1778238650294,"version":"3.51.4"},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Spinal angiolipomas are rare benign epidural tumors accounting for 0.14\u20131.2% of all spinal neoplasms. Pathologically, these lesions are composed of mature adipose tissue and contain proliferative vascular elements. Here, a 44-year-old female presented with a thoracic epidural angiolipoma causing progressive myelopathy, which was diagnosed and effectively managed, resulting in a good clinical outcome.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 44-year-old female presented with a 7-month history of progressive thoracolumbar pain radiating into the lower extremities, accompanied by bilateral paraparesis (Medical Research Council scale [MRC] 4\/5), symmetric hyperreflexia, and a T8\u2013T9 sensory level to pin appreciation, along with impaired vibration\/proprioception (Nurick Grade 3; Modified Japanese Orthopaedic Association scale [mJOA] score 11\/18). The magnetic resonance imaging demonstrated a T7\u2013T8 epidural mass with heterogeneous T1 signal and T2 hyperintensity that homogeneously enhanced with contrast, causing significant spinal cord compression and intramedullary high signal. Through a T7\u2013T8 decompressive laminectomy, gross total tumor resection from T6 to T9 was accomplished; additionally, a T6\u2013T9 posterior instrumented fusion was performed. Histopathology confirmed a non-infiltrating epidural angiolipoma. Three months postoperatively, the patient\u2019s ability to ambulate continued to improve.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Spinal angiolipomas should be considered amongst the differential diagnoses of spinal epidural masses, particularly in middle-aged women presenting with progressive myelopathy. Notably, early surgical decompression with gross total tumor resection offers an excellent prognosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_264_2026","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:33:40Z","timestamp":1778236420000},"page":"263","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidural thoracic spinal angiolipoma: Removed with favorable outcome"],"prefix":"10.25259","volume":"17","author":[{"given":"Iv\u00e1n Andr\u00e9s","family":"Freire-Figueroa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hospital Militar Central, Bogota, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo Alfredo","family":"Vargas-Ardila","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Militar Central, Bogota, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Camila","family":"Bonilla-Lersundy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical School, Universidad Militar Nueva Granada, Bogota, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Andr\u00e9s","family":"Chac\u00f3n-Zambrano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Militar Central, Bogota, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"10.25259\/SNI_264_2026\/ref-1","first-page":"102289","article-title":"Spinal extradural angiolipomas: A case report","volume":"65","author":"Benhayoun","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"10.25259\/SNI_264_2026\/ref-2","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s00586-008-0858-8","article-title":"Spinal 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