A spinal dermoid cyst that spontaneous ruptured into the syrix cavity: a case report

Özsoy, Kerem Mazhar; Ökten, Ali İhsan; Arslan, Ali; Güzel, Ebru; Güzel, Aslan; Cennet, Ahmet

doi:10.5137/1019-5149.jtn.5886-12.2

Cited by 5 publications

(5 citation statements)

References 7 publications

(7 reference statements)

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“…7,12 However, patients with an intramedullary abscess associated with a dermal sinus present at a younger age because of the presence of a pathway for the spread of infection; this was noted in our series and has been reported by others. 1,3,16 Patients with a dermal sinus and a dermoid cyst can also present with only discharge of purulent materials or cyst debris from the sinus without any neurological impairment.…”

Section: Clinical Presentationsupporting

confidence: 51%

Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases

Girishan

Rajshekhar

2016

Journal of Neurosurgery: Pediatrics

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OBJECT Intramedullary dermoid cysts are rare tumors of the spinal cord. Presentation with rapid onset of paraparesis or quadriparesis (onset within 2 weeks) is rarer still. The authors present their experience in the management and outcome of patients with such a presentation. METHODS Patient records between 2000 and 2014 were retrospectively reviewed to identify those with intraspinal dermoid cysts who presented with rapid-onset paraparesis or quadriparesis. Their clinical, radiological, operative, and follow-up data were analyzed. RESULTS Of a total of 50 patients with intraspinal dermoid cysts managed during the study period, 10 (20%) presented with rapid-onset paraparesis or quadriparesis; 9 patients ranged in age from 8 months to 2 years, and 1 patient was 25 years old. A dermal sinus was seen in the lumbar region of 4 patients, the sacral region of 3, and the thoracic region of 1, and in 1 patient no sinus was found. All except 1 patient presented with rapid-onset paraparesis secondary to infection of the intramedullary dermoid cyst. One patient presented with rupture of a dermoid cyst with extension into the central canal up to the medulla. Early surgery was done soon after presentation in all except 2 patients. Among the 9 patients who underwent surgery (1 patient did not undergo surgery), total excision of the intramedullary dermoid cyst was done in 3 patients, near-total excision in 4 patients, and partial excision in 2 patients. Of the 9 patients who underwent surgery, 8 showed significant improvement in their neurological status, and 1 patient remained stable. The 1 patient who did not undergo surgery died as a result of an uncontrolled infection after being discharged to a local facility for management of wound infection. CONCLUSIONS Early recognition of a dermal sinus and the associated intraspinal dermoid cyst and timely surgical intervention can eliminate the chances of acute deterioration of neurological function. Even after an acute onset of paraparesis or quadriparesis, appropriate antibiotic therapy and prompt surgery can provide reasonably good outcomes in these patients.

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Section: Clinical Presentationsupporting

confidence: 51%

Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases

Girishan

Rajshekhar

2016

Journal of Neurosurgery: Pediatrics

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“…They are commonly found in the periorbital region and can also be seen in the spinal cord, ovaries, and pancreas. [5][6][7][8] There is no sex predominance. Dermoid cysts can be divided into congenital and implantable dermoid cysts.…”

Section: Discussionmentioning

confidence: 99%

Dermoid cyst with a congenital sinus tract over the left sternoclavicular joint: a case report and literature review

Chang¹,

Ding

Yan

et al. 2020

J Int Med Res

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Dermoid cysts are rare benign tumors that arise from ectopic epiblastic inclusions and account for 0.4% to 1.5% of all tumors. They are usually 1 to 5 cm in size and composed of a pasty semisolid material. The orbital dermoid cyst is the most common type. Dermoid cysts can also occur in the spinal cord, ovaries, and pancreas. We encountered a 24-year-old man with a dermoid cyst over the left sternoclavicular joint. He reported intermittent secretion of a white tofu-like exudate from an underlying congenital sinus tract since birth. The secretion had turned hemorrhagic for the last month and had been accompanied by progressive swelling and pruritus for 1 week. Ultrasonography and magnetic resonance imaging revealed characteristics of a dermoid cyst, and histopathological examination confirmed the diagnosis. The patient underwent surgical excision of the cyst under local anesthesia. The incision healed well with no postoperative complications. Considering that a dermoid cyst has the potential to become infected or progress into squamous cell carcinoma, its removal at an early stage is suggested. Few reports in the literature have described a dermoid cyst that secretes hemorrhagic contents from a congenital sinus tract. We present this case to provide a reference for clinicians.

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“…Even though the association of TCS with spinal dermoid tumor has been described previously, the association with CDT is uncommon [4, 8-10]. In this case report, we describe an unusual clinical presentation and association of TCS and CDT.…”

Section: Introductionmentioning

confidence: 75%

Unusual Clinical Presentation and Association of Cranial Dermoid Tumor and Tethered Cord Syndrome

Ercan

Güzel

2018

Pediatr Neurosurg

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Tethered cord syndrome (TCS), a neurological disorder characterized by the lower settlement of the conus medullaris, is a congenital spinal disease which is caused by split cord syndrome, meningomyelocele, and spinal tumors. Cranial dermoid tumor (CDT) is a congenital benign tumor which is generally located on the midline of the cranium. Even though TCS is highly associated with spinal dermoid tumor, the relationship of CDT and TCS is unusual. We present a case with an unusual symptom of CDT, motion-dependent pain, and an uncommon togetherness with TCS.

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A spinal dermoid cyst that spontaneous ruptured into the syrix cavity: a case report

Cited by 5 publications

References 7 publications

Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases

Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases

Dermoid cyst with a congenital sinus tract over the left sternoclavicular joint: a case report and literature review

Unusual Clinical Presentation and Association of Cranial Dermoid Tumor and Tethered Cord Syndrome

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