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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e1-e3
DOI: 10.1055/s-0032-1304221
Case Report
Georg Thieme Verlag KG Stuttgart · New York

An Extensive Intramedullary Epidermoid Cyst with a Longstanding History of Paraplegia: A Case Report

Sang Hoon Yoon
1   Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
,
Tae-Ahn Jahng
1   Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
,
Ki-jeong Kim
1   Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
,
Chun Kee Chung
2   Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea
,
Hyun Jib Kim
1   Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea
› Author Affiliations
Further Information

Publication History

16 July 2011

07 November 2011

Publication Date:
09 July 2012 (online)

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Abstract

Spinal cord tumors still challenge clinicians because of their neurological deterioration before and after surgery. Epidermoid cyst is one of the rare intramedullary lesions producing neurological deterioration in cervical spine and it has been reported four times in the literature. We report the case of an intramedullary epidermoid cyst showing a longstanding history of paraplegia as well as recent slowly progressive tingling paresthesia extending from C4 to T10 and weakness in both hands.

Keywords

epidermoid cyst - intramedullary - cervical
 

  • References

  • 1 Amato VG, Assietti R, Arienta C. Intramedullary epidermoid cyst: preoperative diagnosis and surgical management after MRI introduction. Case report and updating of the literature. J Neurosurg Sci 2002; 46 (3-4) 122-126
    PubMedGoogle Scholar
  • 2 Cataltepe O, Berker M, Akalan N. A giant intramedullary spinal epidermoid cyst of the cervicothoracic region. Pediatr Neurosurg 2004; 40 (3) 120-123
    CrossrefPubMedGoogle Scholar
  • 3 Ogden AT, Khandji AG, McCormick PC, Kaiser MG. Intramedullary inclusion cysts of the cervicothoracic junction. Report of two cases in adults and review of the literature. J Neurosurg Spine 2007; 7 (2) 236-242 DOI: 10.3171/SPI-07/08/236.
    CrossrefPubMedGoogle Scholar
  • 4 Gonzalvo A, Hall N, McMahon JH, Fabinyi GC. Intramedullary spinal epidermoid cyst of the upper thoracic region. J Clin Neurosci 2009; 16 (1) 142-144
    CrossrefPubMedGoogle Scholar
  • 5 Roux A, Mercier C, Larbrisseau A, Dube LJ, Dupuis C, Del Carpio R. Intramedullary epidermoid cysts of the spinal cord. Case report. J Neurosurg 1992; 76 (3) 528-533
    Google Scholar
  • 6 Agarwal A, Bhake A, Kakani A. Cervical intramedullary epidermoid cyst with liquid contents. Asian Spine J 2011; 5 (1) 59-63 DOI: 10.4184/asj.2011.5.1.59.
    CrossrefPubMedGoogle Scholar
  • 7 Brohi SR, Qureshi SM, Rajput SS, Bhatti NK. Thoracic intramedullary epidermoid with paraplegia for 12 years. J Coll Physicians Surg Pak 2010; 20 (2) 135-136
    PubMedGoogle Scholar
  • 8 Kumar A, Singh P, Jain P, Badole CM. Intramedullary spinal epidermoid cyst of the cervicodorsal region: A rare entity. J Pediatr Neurosci 2010; 5 (1) 49-51 DOI: 10.4103/1817-1745.66675.
    PubMedGoogle Scholar
  • 9 Jadhav RN, Khan GM, Palande DA. Intramedullary epidermoid cyst in cervicodorsal spinal cord. J Neurosurg 1999; 90 (1, Suppl) 161
    PubMedGoogle Scholar