Neurology India Medknow Publications on behalf of the Neurological Society of India ISSN: 0028-3886 EISSN: 1998-4022 Vol. 59, Num. 4, 2011, pp. 654-655

Neurology India, Vol. 59, No. 4, July-August, 2011, pp. 654-655

Correspondence

Authors' reply

Batuk Diyora, Naren Nayak, Sanjay Kukreja, Hanmant Kamble, Alok Sharma

Department of Neurosurgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India
Correspondence Address: Batuk Diyora, Department of Neurosurgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India, bddiyora@hotmail.com

Date of Submission: 10-Jun-2011
Date of Decision: 11-Jun-2011
Date of Acceptance: 21-Jun-2011

Code Number: ni11204

Sir,

We thank Dr. Turgut ^[1] for showing interest in our article. ^[2] Magnetic resonance imaging (MRI) is the imaging modality of choice for detecting angiolipomas. These neoplasms usually appear iso- or hyperintense on T1-weighted images and hyperintense on T2-weighted images. The fat component is typically hyperintense on T1-weighted images while the vascular component appears hypointense on T1-weighted sequences. In our case, the increased vascular component may be responsible for the hypointensity on T1-weighted sequence. We agree with Dr. Turgut that "dumbbell" spinal angiolipomas require multidisciplinary approach involving microneurosurgical and thoracoscopic approach. We are aware about the anatomic relation between cord segments and vertebral bodies as pointed out by him; we would like to accept the technical error and it should read as T7 instead of T4. We appreciate the comments and input provided by Dr. Turgut in this regard.

References

1.	Turgut M. Thoracic epidural angiolipoma with extraspinal extension. Neurol India 2011;59:654.  Back to cited text no. 1  [PUBMED]
2.	Diyora B, Nayak N, Kukreja S, Kamble H, Sharma A. Thoracic epidural angiolipoma with bilateral multilevel extraspinal extensions: A rare entity. Neurol India 2011;59:134-6.  Back to cited text no. 2  [PUBMED]

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