Intramedullary epidermoid cyst in cervicodorsal spinal cord

Jadhav, Ruturaj Narendrakumar; Khan, Ghulam M; Palande, Deepak

doi:10.3171/spi.1999.90.1.0161

Cited by 11 publications

(11 citation statements)

References 5 publications

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“…Signs and symptoms at presentation are usually neurological, such as progressive paraparesis, sensory loss and back/leg pain that can be variably intermingled according to the specific tumor localization. 2,4,5,13 Urological manifestations are observed as an expression of the interference of the mass with different mechanisms responsible for voiding. Normal voiding relies on a complex neurophysiological system between the cerebral cortex and the sacral spinal cord.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] The symptoms at presentation of epidermoid cysts in the lower thoracic and upper lumbar regions are usually neurologic, such as progressive paraparesis and motorsensory complaints; sphincter troubles may occur later. [1][2][3][4][5] We report a case of a 13-year-old patient with an intramedullary epidermoid cyst presenting with urological manifestations.…”

Section: Introductionmentioning

confidence: 99%

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Intramedullary epidermoid cyst presenting with abnormal urological manifestations

et al. 2003

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Study design: Report of an epidermoid cyst with intramedullary localization. Objective: To describe an atypical presentation of intramedullary epidermoid cyst. Summary of background data: Intramedullary epidermoid cysts are rare entities with a marked variability in the clinical presentation, essentially of neurological pertinence. Methods: Case report of a spinal epidermoid cyst in a 13-year-old girl presenting with urological symptoms: she had a 12-month history of recurrent low urinary tract infections, urinary frequency and nocturnal enuresis. A urodynamic evaluation was performed and showed the presence of involuntary bladder contractions with detrusor instability and low bladder compliance. Magnetic resonance imaging of the spine demonstrated an intramedullary lesion of the dorsal spinal cord. Results: The mass was excised and 6 months after surgical excision, urological manifestations improved with decreased detrusor hyper-reflexia, increased bladder capacity and compliance and no later report of urinary tract infections. Conclusions: In our patient, unusual clinical manifestations of the tumor have delayed the diagnosis, but its complete removal has led to remission of symptoms. Detailed neurological examination and investigations are indicated in patients with clinical and urodynamic features, suggestive of neuropathic bladder.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intramedullary epidermoid cyst presenting with abnormal urological manifestations

et al. 2003

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“…So when the cyst wall is intimately attached to the spinal cord, it should be left in place. 2,14,24 Intraoperative evoked potentials, motor and sensory, may be of value in maximizing patient outcomes.…”

Section: 19mentioning

confidence: 99%

“…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. 7 Presence of other congenital abnormalities like dermal sinus, spina bifida and hemivertebrae augments the congenital origin and are mostly associated with congenital epidermoid cysts.…”

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%

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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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Thoracic intramedullary epidermoid cyst-timely fashion diagnosis and treatment

Babayev

Abbasov²,

Ekşi

2015

Childs Nerv Syst

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Epidermoid cysts are composed of stratified squamous epithelium, which develop from inclusion of ectodermal tissue remnants entrapped during primitive neural tube closure period between the 3rd and 5th weeks of gestation. Intramedullary epidermoid cysts (IEC) are very rare in childhood. Eleven cases have been reported previously. Even though it is a rare entity, early diagnosis with timely fashioned surgical treatment has a great influence on patients' symptoms, especially if there are myelopathic findings. In this case report, we demonstrate this fact with a demonstrative clinical case and review radiological, pathological, and surgical perspectives with literature review.

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Intramedullary epidermoid cyst in cervicodorsal spinal cord

Cited by 11 publications

References 5 publications

Intramedullary epidermoid cyst presenting with abnormal urological manifestations

Intramedullary epidermoid cyst presenting with abnormal urological manifestations

Thoracic Spinal Intradural Intramedullary Epidermoid Cyst: Case Report

Thoracic intramedullary epidermoid cyst-timely fashion diagnosis and treatment

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