Ruptured Spinal Dermoid Cyst

Kuyumcu, Gokhan; Jhaveri, Miral D.

doi:10.1017/cjn.2017.26

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Attempt to complete resection may lead to permanent neurological damage [ 9 ]. However, we still need to make an effort to resect the capsule wall under intraoperative monitoring to reduce the risk of recurrence [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Ruptured Spinal Dermoid Cysts with Lipid Droplets into the Syrinx Cavity : Reports of Fourteen Cases

Cheng

Gao

et al. 2022

J Korean Neurosurg Soc

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Objective : Dermoid cysts are uncommon in spinal cord tumors, and the phenomenon of their spontaneous rupture into the syrinx cavity is quite rare. We aimed to analyze the imaging characteristics and etiologies, and propose some surgical strategies, for this uncommon phenomenon.Methods : We retrospectively reviewed 14 cases with spinal dermoid cysts that ruptured into the cervical and thoracic syrinx cavity. There were six male and eight female cases, aged 21 to 46 years, who had lipid droplets in the syrinx cavity from C1 to L3. The dermoid cysts were always located at the conus. Based on patients’ complaints, clinical manifestations, and imaging results, we adopted tumor excision and/or syrinx cavity aspiration in one stage or multiple stages.Results : Three patients had only a syrinx cavity aspiration surgery due to a history of dermoid cyst excision. Eight patients had dermoid cyst resection and syrinx cavity aspiration in one stage. One patient was operated upon in two stages due to the development of new symptoms at nine months follow-up. Two patients underwent only tumor resection since they did not show similar symptoms or signs caused by the cervicothoracic syrinx. The axial magnetic resonance imaging indicated that the lipid droplets were always not at the center but were eccentric. The clinical effect was satisfactory during the follow-up period in this group.Conclusion : The lipid droplets filled the spinal syrinx cavity, not entirely confined to the central canal. Based on the chief complaints and associated signs, we adopted different surgical strategies and had satisfactory clinical results.

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Section: Discussionmentioning

confidence: 99%

Ruptured Spinal Dermoid Cysts with Lipid Droplets into the Syrinx Cavity : Reports of Fourteen Cases

Cheng

Gao

et al. 2022

J Korean Neurosurg Soc

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“…On computed tomography, fat can be characterized by its low density. 3,4 Figure 1: Suprasellar mature teratoma/dermoid cyst, with the "Poké Ball sign." Brain MRI demonstrated a well-defined suprasellar cystic lesion, with internal fat-fluid level on FLAIR (arrow in A).…”

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confidence: 99%

Suprasellar Mature Teratoma/Dermoid Cyst with the Poké Ball Sign

Santos

Araujo

Altoé³

et al. 2021

Can. J. Neurol. Sci.

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Dermoid cysts masquerading as pilonidal sinus disease

Darya,

Barkhatov,

Safyanov

et al. 2023

Russian Medicine

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BACKGROUND: Dermoid cysts (DC) are benign cystic tumors formed because of impaired embryogenesis processes when ectodermal rudiments are immersed in tissues and organs along the lines of their embryonic fusion. DC is most often localized in the head and neck (84%). Rarer localizations areas are as follows: 1) ovaries; 2) retroperitoneal space; 3) mediastinum; 4) pancreas and spleen; 5) spinal canal. In case of retroperitoneal localization of DC, the presacral location occurs more often, then location in soft tissues of the sacrococcygeal region. Moreover, the clinical pattern may be similar to that of pilonidal disease, which may cause difficulties in diagnosis at the preoperative diagnostics and further determination of the surgical techniques. CLINICAL CASES DESCRIPTION: In the Clinic of colorectal and minimally invasive surgery, two clinical cases of dermoid cysts masquerading as pilonidal sinus disease were encountered. In both cases, Bascom II surgery was performed. Macroscopic examination of the specimens revealed pathognomonic signs of dermoid cysts: a hair growth site on the epithelial lining of the cyst in the first case and the presence of sebum in the cyst cavity in the second case. The early postoperative period in both patients proceeded smoothly, and no data were obtained for recurrence in the 6- and 18-month follow-up period. CONCLUSION: Because of the similar clinical picture of pilonidal cysts and DC of the sacrococcygeal region, differential diagnosis is crucial. A wide range of minimally invasive methods are available for treating pilonidal disease; however, they are not appropriate for the treatment of DC. At present, the only radical method of treating DCs of the sacrococcygeal region is excision of the cyst without rupturing the capsule to prevent disease recurrence.

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Ruptured Spinal Dermoid Cyst

Cited by 3 publications

References 3 publications

Ruptured Spinal Dermoid Cysts with Lipid Droplets into the Syrinx Cavity : Reports of Fourteen Cases

Ruptured Spinal Dermoid Cysts with Lipid Droplets into the Syrinx Cavity : Reports of Fourteen Cases

Suprasellar Mature Teratoma/Dermoid Cyst with the Poké Ball Sign

Dermoid cysts masquerading as pilonidal sinus disease

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