Intramedullary Epidermoid Cyst of the Cervical Spinal Cord Associated with an Extraspinal Neuroenteric Cyst

Ih, Tekkök; Palaoğlu, Selçuk; Erbengi, Aykut; Onol, B

doi:10.1097/00006123-199207000-00018

Cited by 39 publications

(48 citation statements)

References 13 publications

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“…[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%

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: 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%

“…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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“…9,22 These lesions are characterized as benign and slow growing and are generally located in the intradural extramedullary space of the lumbosacral region. 8,19,21 Intramedullary ECs are extremely rare, with approximately 60 reported cases in the literature. 3 Malignant transformation of ECs to squamous cell carcinomas (SCCs) in the CNS is exceedingly rare and has only been described in intracranial ECs.…”

confidence: 99%

“…21 Spinal ECs are hypothesized to arise from either defective neural tube closure between the 3rd and 5th weeks of gestation or displacement of epithelial tissue during lumbar spinal puncture procedures. 9,18,22 The patient in the present case had a medical history significant for a lumbar procedure, which could indicate the origin of the initial EC.…”

Section: 418mentioning

confidence: 99%

Malignant transformation of an intramedullary epidermoid cyst in the thoracic region of the spinal cord

Somasundaram¹,

Lesser

Mott

et al. 2013

SPI

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Malignant transformation of epidermoid cysts (ECs) to squamous cell carcinomas (SCCs) in the CNS is exceedingly rare and has only been described in intracranial ECs. In this article, the authors describe a 53-year-old man with a history of a previously resected T3–4 EC, who presented with a 2-month history of progressively worsening weakness in the left side of his body. Magnetic resonance imaging revealed an enhancing mass in the T3–4 region, the exact location of the previous cyst. The mass was resected in gross-total fashion, and pathological analysis revealed an SCC. Postoperatively, the patient regained full strength in his lower extremities. After the resection, he received radiotherapy administered at an isodose of 50 Gy. To the authors' knowledge, this is the first reported case of malignant transformation of an intramedullary spinal EC in the literature.

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Intramedullary Epidermoid Cyst of the Cervical Spinal Cord Associated with an Extraspinal Neuroenteric Cyst

Cited by 39 publications

References 13 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

Malignant transformation of an intramedullary epidermoid cyst in the thoracic region of the spinal cord

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