Intramedullary epidermoid cysts in adults: Case report and updated literature review

Graillon, Thomas; Rakotozanany, P.; Meyer, Mikaël; Dufour, Henry; Fuentès, S.

doi:10.1016/j.neuchi.2017.01.004

Cited by 9 publications

(7 citation statements)

References 13 publications

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“…Kane et al published a series of 54 patients with intramedullary spinal cord tumors treated with surgery reported that adjuvant postoperative radiotherapy was not used routinely if complete tumor removal was achieved, it can be concluded that the effectiveness of radiotherapy is still unclear and has not been demonstrated [ 13 ]. Especially for patients with low-grade tumors do not need radiotherapy [ 14 , 15 ]. In this patient no postoperative radiotherapy was performed.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of intramedullary spinal dermoid cyst in adult: A case report

Gatam

Merthana

2020

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Partial capsule removal might increase the recurrence rate but even so, recurrence seems to be rare and is associated with giant and extended cyst features, which represent a real surgical challenge. Long-term follow-up is required [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of intramedullary spinal dermoid cyst in adult: A case report

Gatam

Merthana

2020

International Journal of Surgery Case Reports

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“…The incidence of intramedullary epidermoid cysts is still rarer. 7 Chiari reported the first case in 1833. 8,9 The thoracic region is the most common site of the intramedullary epidermoid cysts (usually between D4-D8 levels).…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Infected Cervicodorsal Intramedullary Epidermoid Cyst

Chawla

Sankhe

2020

Indian Journal of Neurosurgery

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Introduction Intramedullary spinal epidermoid cysts have a reported incidence of less than 1% of intramedullary spinal cord tumors; and out of these, intramedullary epidermoid lesions within the cervical spinal cord are even rarer. Here, we present the case of an adult patient with an infected intramedullary epidermoid cyst, identified on magnetic resonance imaging (MRI) at the C7–D1 level that was successfully excised without any worsening of neurological status. Case Presentation A 23-year-old female patient presented with history of moderate degree intermittent fever followed by gradually progressive right-sided weakness. She had paresthesia below C5 dermatome on the right side. On close inspection of the back, a tiny sinus opening was noted at the D2 level near the midline. MRI of the spine showed an intramedullary lesion at the C6–D1 level with the tract connecting to the subcutaneous lesion. Somatosensory evoked potential (SSEP) monitoring was done during the surgery with near total excision of the lesion. Conclusion Even though the location is rare, a differential diagnosis of the epidermoid should always be considered. A tiny dermal sinus opening helped us in proper diagnosis, along with surgical excision, by providing us a direct path to the intramedullary lesion. An early diagnosis and treatment with neurophysiological monitoring helped us in the maximum safe resection of the lesion without developing any new deficit.

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“…[ 5 ] IECs are either congenital or acquired; some of the latter have attributed to lumbar punctures (e.g., resulting from iatrogenic skin fragment penetration). [ 5 ] These lesions are diagnosed late in the clinical course as the onset of subacute/acute paraparesis with/without sphincter dysfunction is often delayed. Here the patient presented with a spastic paraparesis of 2 years duration with urinary incontinence for just one month's duration.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] An intramedullary epidural cyst (IEC) composed of stratified squamous epithelium rarely occurs without spinal dysraphism; there are less than 80 such cases reported in the literature. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

Adult intramedullary epidermoid cyst without spinal dysraphism: A case report

Mishra¹,

Prabhuraj²,

Pruthi³

et al. 2018

Surg Neurol Int

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Background:Intramedullary epidermoid cyst (IEC), typically associated with spinal dysraphism, is rare, with fewer than 80 such cases reported in the literature. Here we present an adult with an IEC without spinal dysraphism.Case Description:A 41-year-old female presented with the gradual onset of a progressive spastic paraparesis attributed to a magnetic resonance imaging (MRI)-documented D8-9 intramedullary lesion. Following microsurgical excision of the IEC, she fully recovered.Conclusion:IECs are rare lesions, typically found in conjunction with spinal dysraphism. Utilizing MRI studies to document the lesion location, gross total microsurgical excision is the procedure of choice. Early excision of these benign lesions maximizes functional recovery.

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Intramedullary epidermoid cysts in adults: Case report and updated literature review

Cited by 9 publications

References 13 publications

A rare case of intramedullary spinal dermoid cyst in adult: A case report

A rare case of intramedullary spinal dermoid cyst in adult: A case report

A Rare Case of Infected Cervicodorsal Intramedullary Epidermoid Cyst

Adult intramedullary epidermoid cyst without spinal dysraphism: A case report

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