Intramedullary epidermoid cyst. A case report

Scholz, Martin; Märzheuser-Brands, Stefanie; Gottschalk, Jack A.; Böck, J. C.; Lanksch, W.

doi:10.1007/bf00309994

Cited by 13 publications

(15 citation statements)

References 14 publications

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“…In addition it has been noticed that the margins of these lesions are ‘shaggy,’ possibly because of chronic inflammatory response to the squamous tissue ‘leak’ through the capsule and variable gliosis along the margin, extending into the cord. This feature may be of help in differentiating these lesions from other intramedullary tumours 12671213. Total resection of epidermoid cyst is the treatment of choice 6914.…”

Section: Discussionmentioning

confidence: 97%

“…Acquired epidermoid cysts have been found years after single or multiple lumbar spinal punctures and are thought to result from iatrogenic penetration of skin fragments 81011. Thoracic region (between D4-D8 levels) is the favorite site of the intramedullary epidermoid cysts6912 followed by the lumbar cord12; and rarely, these lesions involve cervical cord [Table 1]. 1 The diagnosis of intramedullary epidermoid cyst is often based on operative and histological finding 2.…”

Section: Discussionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) reduces the delay in diagnosis, and evidence has accumulated that these lesions may be preoperatively suspected 91213. Epidermoid cysts are generally characterized on MRI by an important variability of signal intensity between the different cases and, at times, between the different parts of the same cysts; other features include the absence of edema in surrounding tissue, fairly well-defined limits and peripheral enhancement on injection of gadolinium 12671213. In both our cases the lesions were well defined and there was no surrounding edema.…”

Section: Discussionmentioning

confidence: 99%

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Dorsal intramedullary spinal epidermoid cysts: Report of two cases and review of literature

Cincu¹,

Lazaro²,

Liesa³

et al. 2007

Indian J Orthop

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Intramedullary epidermoid cysts of the spinal cord are rare tumors, especially those not associated with spinal dysraphism. About 50 cases have been reported in the literature. Of these, only seven cases have had magnetic resonance imaging (MRI) studies. We report two cases of spinal intramedullary epidermoid cysts with MR imaging. Both were not associated with spina bifida. In one patient, the tumor was located at D4 vertebral level; while in the other, within the conus medullaris. The clinical features, MRI characteristics and surgical treatment of intramedullary epidermoid cyst are presented with relevant review of the literature.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dorsal intramedullary spinal epidermoid cysts: Report of two cases and review of literature

Cincu¹,

Lazaro²,

Liesa³

et al. 2007

Indian J Orthop

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“…22 It is encountered commonly in lumbosacral and lower thoracic regions. 14 About 40% of intraspinal epidermoid cysts are acquired and are considered to be late complication of multiple lumbar punctures or after history of meningomyelocele repair.…”

Section: Introductionmentioning

confidence: 99%

“…Of all the 58 cases of intramedullary epidermoid cysts reported, there have been only 15 cases with MR imaging reported in the literature earlier. [2][3][4]7,9,10,14,15,19,[20][21][22]24,26,27 Magnetic resonance imaging of epidermoid cyst is characterized by the absence of perifocal edema and being a well circumscribed lesion. Its lobulated aspect helps differentiating it from arachnoid cyst.…”

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confidence: 99%

Thoracic Spinal Intradural Intramedullary Epidermoid Cyst: Case Report

Elsebaey

Elgohary

2017

Egyptian Spine Journal

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Background Data: Epidermoid cysts grow slowly so the symptoms would present with slowly progressive course and delay in the diagnosis that may extend up to years. 4 Presence of neurological symptoms and signs is usually detected that might be associated with local mild but persistent back pain. Purpose: To describe a case presentation of spinal epidermoid cyst. Study design: A case report of intradural thoracic an epidermoid cyst. Patients and Methods: Our case was a forty years old male patient presenting with left lower limb motor weakness. He had a 5 month history of slowly progressive left lower limb weakness and not associated with sphincter disturbance. Magnetic resonance imaging of the spine demonstrated an intradural lesion of the thoracic part of the spinal cord. Results: The lesion was excised totally and 14 days after the surgical removal, the motor power of the left lower limb showed marked improvement up to grade 4 on MRC scale. Conclusion: The diagnosis of intradural epidermoid cyst could be considered in patients with slowly progressive lower limbs weakness and mild persistent back pain. (2016ESJ121)

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Bildgebung bei demyelinisierenden und tumorösen Erkrankungen des Rückenmarks

Mueller-Mang¹

2010

Radiologe

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The clinical symptoms of myelopathy are variable and non-specific. Demyelinating as well as neoplastic spinal cord diseases can cause paresthesia, progressive sensomotoric deficits and bowel and bladder dysfunction. Imaging of the spine, especially with magnetic resonance imaging (MRI), is an essential component in the diagnostic assessment of myelopathy and makes a substantial contribution to achieving the correct diagnosis. Although intramedullary neoplasms are far less common than demyelinating spinal cord diseases, radiologists should be familiar with the three most common entities, astrocytoma, ependymoma and hemangioblastoma, which represent over 70% of all spinal cord neoplasms. An early diagnosis and therapy is essential with neoplastic and demyelinating spinal cord diseases to hold residual neurological deficits as low as possible.

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Intramedullary epidermoid cyst. A case report

Abstract: The authors add to the literature a case report of a 32-year-old man with an intramedullary epidermoid cyst at the level of D 3/4, that was successfully operated on. There are several previous reports in the literature, but only five of these include MRI studies.

Cited by 13 publications

References 14 publications

Dorsal intramedullary spinal epidermoid cysts: Report of two cases and review of literature

Dorsal intramedullary spinal epidermoid cysts: Report of two cases and review of literature

Thoracic Spinal Intradural Intramedullary Epidermoid Cyst: Case Report

Bildgebung bei demyelinisierenden und tumorösen Erkrankungen des Rückenmarks

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