Adult onset tethered cord syndrome associated with intradural dermoid cyst. A case report

Abstract

Study design: A case report and a review of literature. Objectives: To describe a rare case of adult onset tethered cord syndrome associated with intradural dermoid cyst. Setting: General Orthopedics, Japan. Methods: A 50-year-old woman was referred to us because of right leg pain and pollakiuria. Neurological examinations and radiological assessments including myelography, computerized tomography scan and Magnetic resonance image were carried out. We diagnosed it as the adult onset tethered cord syndrome associated with an intradural cystic lesion. Results: The cystic lesion was totally removed following laminectomy from L5 through S4. Histologically, the tumor was diagnosed as a dermoid cyst. Conclusions: Intradural dermoid could produce adult onset tethered cord syndrome, but it was not reported in the English literatures to our knowledge.

Extradural Dermoid Cyst of the Anterior Infratemporal Fossa. Case Report

“…Intradural lesions are more common in the posterior fossa around the cerebellar vermis and the fourth ventricle, in the spinal canal, and, less frequently, in the supraparasellar, pineal, and parapontine regions. 7 12 13 Extradural lesions have been reported in the fontanels, periorbital, nasal, frontotemporal, eustachian tube, parietal, occipital, cavernous sinus, and petrous apex locations. 11 14 15 16 17 They tend to originate from skull sutures located near the skin and have direct connections between the dermal sinus and intradural cyst.…”

Unusual Clinical Presentation and Association of Cranial Dermoid Tumor and Tethered Cord Syndrome

“…The short and thick filum terminale causes an abnormal stretching of the spinal cord that limits the normal movement within the spinal column. The onset of the symptoms, which mostly appear during childhood, is characterized by pain, weakness, and numbness of the lower extremities [1, 2]. The causes of TCS are congenital, split cord syndrome, lipomeningocele, and acquired factor adherence secondary to previous spine surgery [3-5].…”