Su un caso di dermoide intramidollare

Gagliardi, F.; Ferrari, Gr.

doi:10.1007/bf01540927

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…We could find three other cases [5][6][7][8] in which a dermoid cyst was in the cervical cord and was not associated with any other congenital anomalies of the spine. In other reported cases, 6,7,9 the location of the dermoid cyst and the presence or absence of congenital anomaly of the spine were not clear as they were dated before the advent of MRI.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary Dermoid Cyst of the Cervical Spinal Cord – C5–C7 Level

2018

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Introduction Inclusion cysts of the spinal cord are rarely intramedullary. Such cysts are commonly located in the lumbar and thoracic regions and are usually associated with congenital spinal dysraphism and dermal sinus. Intramedullary dermoid cysts in the cervical region without spinal dysraphism are extremely rare. To our knowledge, only seven such cases are reported in the literature to date. Materials and Methods An 18-year-old female patient presented with weakness in all four limbs, more distal than proximal muscle weakness, that had been progressing for 3 years. The magnetic resonance imaging (MRI) showed an intramedullary lesion from C5– C7 with peripheral ring enhancement. “Whorls” were observed within the lesion on T2 weighted image, with associated excavation of vertebral bodies C5– C7. Operative procedure and findings: partial laminectomy of C5– D1was performed. The dura was opened. A small myelotomy was made in the root entry zone. About 1.5 ml of yellowish colored fluid was drained. White shiny debris with hair, whitish pultaceous content and teeth were removed. Complete excision of cyst and its wall was performed. Results The histopathological examination revealed that the cyst wall was lined by stratified squamous epithelium with underlying dermis showing hair follicles, sebaceous glands, adipose tissue and cyst filled with keratin debris suggestive of dermoid cyst. Conclusion The intramedullary location of the dermoid cyst in the cervical cord and the absence of any congenital spinal dysraphism make this case a very unique and rare entity and warrants its inclusion in the reported cases of rare intramedullary space occupying lesions.

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Section: Discussionmentioning

confidence: 99%

Intramedullary Dermoid Cyst of the Cervical Spinal Cord – C5–C7 Level

2018

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Raumbeengende Prozesse im Spinalkanal (einschließlich Angiome und Parasiten)

Nittner¹

1972

Wirbelsäule Und Rückenmark

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Dorsal intramedullary dermoids

2005

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We report a case of a 31-year-old woman with an intramedullary thoracic dermoid, who had progressive spastic paraparesis in her lower extremities over a period of three years, as well as loss of bowel and bladder control. She had been operated for "spina bifida" at three days of age but had no neurologic deficit. MRI of the thoracic spine showed an intramedullary hypointense lesion at T7-T8, associated with an intramedullary lipoma at a higher level. Intracapsular resection of an intramedullary dermoid cyst was performed. We review the literature on intramedullary dermoids differentiating them from the more common, but still rare, lumbosacral subdural juxtamedullary dermoids. We discuss the associated malformations with these lesions, as well as their pathophysiology and treatment. Although uncommon, dorsal intramedullary dermoids should be suspected and treated in a timely manner, especially in presence of other congenital anomalies.

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Su un caso di dermoide intramidollare

Cited by 4 publications

References 10 publications

Intramedullary Dermoid Cyst of the Cervical Spinal Cord – C5–C7 Level

Intramedullary Dermoid Cyst of the Cervical Spinal Cord – C5–C7 Level

Raumbeengende Prozesse im Spinalkanal (einschließlich Angiome und Parasiten)

Dorsal intramedullary dermoids

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