Abstract
We report a case of intramedullary glioependymal cyst at the level of D11-D12 vertebra
in 38 year old male patient, who presented to our hospital with progressive spastic
paraplegia. The preoperative magnetic resonance image spine revealed a well-defined
intramedullary cystic lesion at D11-D12 level, which was hypointense on T1W1, hyperintense
on T2W1 and showing ring type enhancement on post contrast images. The patient underwent
D11-D12 laminectomy, durotomy, dorsal midline myelotomy with fenestration and decompression
of intramedullary cystic lesion. Biopsy was taken from the cyst wall. The histopathological
study of specimen was suggestive of glio-ependymal cyst. Postoperatively patient improved
neurologically but there was residual paraparesis at the time of discharge. To the
best of our knowledge, only 20 cases have been reported so far. Considering this rarity
and reviewing the literature, we present a case of spinal cord glioependymal cyst
along with radiological, surgical, pathological and immunohistochemistry findings.
Key words
Glioependymal cyst - intramedullary - immunohistochemistry
