A case of thoracic epidural angiolipoma with intracranial hypertension

Spinal cord tumors sometimes present with intracranial hypertension and can be difficult to diagnose at the initial presentation without symptoms due to spinal cord compression. Here, we report a case of a patient with thoracic epidural angiolipoma complicated by increased intracranial pressure and normal protein levels in cerebrospinal fluid (CSF). His neurological symptoms improved immediately after partial removal of the core part of epidural angiolipoma. Spinal cord lesions should be ruled out in cases with intracranial hypertension, even if the CSF protein levels are normal.