Journal of spinal disorders
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We present a case of an extradural thoracic spinal angiolipoma in a 27-year-old woman. The epidural tumor was evaluated with computerized tomographic scans and magnetic resonance imaging scans. The tumor was removed, and the clinical symptoms improved remarkably.
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In the cervical spine, routine and contrast magnetic resonance (MR)- and computed tomography (CT)-based studies may fail to differentiate between an ectatic vertebral artery and a solid foraminal mass. A complete cervical and lumbar Myelo-CT scan in a 67-year-old female with lumbar stenosis revealed an incidental, left-sided C3-C4 foraminal mass. ⋯ The possibility of a vertebral artery anomaly should be considered in patients with asymptomatic lateral and foraminal cervical lesions on CT studies. In these patients, routine MR and MR angiography are necessary to demonstrate the status of the vertebral artery in the foramen.