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A 55-year-old female was presented with complaints of tingling sensations of the bilateral lower limb with spastic paraplegia for last one year. Her pre-operative contrast MRI study of Dorsolumbar Spine was suggestive of extradural angiolipoma. She underwent D11, D12 and L1 Laminectomy and a mildly vascular yellowish globular extradural mass was found which was excised completely and dural decompression was achieved. Post-operatively, the patient’s neurologic symptoms improved.
Conclusion: Spinal angiolipoma is considered a rare benign entity which emulates malignancy. It should be included as a differential diagnosis of the spinal epidural tumour with fat component and a high degree of vascularisation. surgical removal of this epidural tumour through a proper and comprehensive approach provides complete and permanent recovery.