Spinal angiolipomas are rare benign tumors composed of mature fatty tissue and abnormal vascular elements. These lesions are most commonly found in the posterior spinal epidural space, especially within the mid-thoracic spine. However, case of lumbar epidural angiolipoma have been rarely reported in literature. Here, we report the case of a 50-year-old woman who presented with low back pain and left leg pain and in whom magnetic resonance imaging revealed a dumbbellshaped mass in the neural foramen around L1-L2 with root compression. The tumor was completely removed, and pathological examination confirmed the diagnosis of angiolipoma. We also reviewe the relevant literature.