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Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 235-240

Epidural angiolipoma and Andersson lesion: A rare co-occurence—A case report and literature review

1 Spine Unit, Department of Neurosurgery, I-NK, Institute of Neurosciences, Kolkata, West Bengal, India
2 Department of Neuropathology, I-NK, Institute of Neurosciences, Kolkata, West Bengal, India

Correspondence Address:
Selvin Prabhakar Vijayan
Spine Unit, Department of Neurosurgery, I-NK, Institute of Neurosciences, 185, Acharya Jagadish Chandra Bose Road, Elgin, Kolkata 700020, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/isj.isj_47_21

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Spinal angiolipomas (SALs) are very rare benign extradural neoplasms, representing 0.14%–1.2% of all spinal tumors. Andersson lesion is a localized vertebral or disco-vertebral lesion in ankylosing spondylitis. Co-occurrence of these lesions is very rare and has never been reported. We are reporting one such case of a 61-year-old man presented with features of dorsal compressive myelopathy. On magnetic resonance imaging (MRI), he was diagnosed to have a SAL at D6–D9 and Andersson lesion at D7–D8 and L1–L2. He was managed surgically with a long-segment fixation and decompression and gross total excision of the tumor. Diagnosis of a SAL was confirmed in a biopsy, and postoperatively, he showed good clinical improvement. In conclusion, given the rarity of co-occurrence of these pathologies, a strong clinical suspicion is required. MRI and CT scan help in diagnosis. Both these pathologies warrant surgical management. When diagnosed early and managed appropriately, they have a good prognosis.

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