Author Affiliations 1Department of Neurosurgery,ÇubukHalilŞıvgın State Hospital,Turkey 2Department of Neurosurgery,Ankara Bilkent City Hospital, Turkey 3Department of Pathology, Faculty of Medicine, Turkey 4Department of Neurosurgery,Faculty of Medicine, Turkey Received: April 11, 2020 | Published: April 23, 2020 Corresponding author: Öcal Özgür, Department of Neurosurgery, Ankara Bilkent City Hospital, Ankara, Turkey DOI: 10.26717/BJSTR.2020.27.004464 Background: Spinal angiolipomas are rare and benign tumors which are composed of mature adipose tissue and blood vessels. Thoracic epidural region is the most common location of spinal angiolipomas. Clinical Description: A 51-year-old female presented with chronical back pain for 1 year. There was no pregnancy, trauma or another pathological history. Lumbar stabilization was performed at another hospital for spondylolisthesis. After 2 months of operation, the patient suffered from acute onset paraplegia. Radiological examination referred that extradural lesion located at T6-T9 level which was causing severe spinal cord compression. T7-T8 hemilaminectomy performed without disruption of the facet joint. And extradural adipose-like tumor was removed totally. Motor improvement achieved immediately after operation. And complete neurological recovery achieved at post-operative 48 hours. Conclusion: Hemodynamic or adipose tissue alterations may trigger acute neurological deterioration at the spinal angiolipomas. In our case patient had a weight gain history after first operation. MRI is essential diagnostic tool for these lesions. Surgical treatment for spinal angiolipomas has good outcomes even in subtotal resection and/or at the complete paraplegia. Keywords: Spinal Angiolipoma; Spinal Extradural Tumor; Paraplegia