2009
DOI: 10.4103/0971-3026.50840
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Long-segment intramedullary spinal dermoid

Abstract: A 30-year-old man presented with a fairly large intramedullary mass lesion involving virtually the entire spinal cord. It was hyperintense on both T1W and T2W sequences, with signal suppression on fat-saturation images. Subsequent noncontrast CT scan of the spine confirmed the presence of fat and calcification within the lesion, thus leading to the diagnosis of an intramedullary dermoid.

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Cited by 13 publications
(11 citation statements)
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“…Due to the varying amounts of soft tissue, fat, calcium, and hemorrhage, MRI typically demonstrates heterogeneous signal intensity lesions with the relatively high signal from fat (e.g., on MRI T1W images) making the identification of its lipid component more readily apparent. [ 5 , 6 ]…”
Section: Discussionmentioning
confidence: 99%
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“…Due to the varying amounts of soft tissue, fat, calcium, and hemorrhage, MRI typically demonstrates heterogeneous signal intensity lesions with the relatively high signal from fat (e.g., on MRI T1W images) making the identification of its lipid component more readily apparent. [ 5 , 6 ]…”
Section: Discussionmentioning
confidence: 99%
“…A holocord intramedullary dermoid has only been reported once in the literature involving a patient who refused surgery. [ 5 ] Shukla et al . reported a long segment intramedullary dermoid from T4 to L1 vertebral level which was surgically debulked.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[ 7 8 ] Radiological diagnosis at times is difficult unless fat particles and calcification can be demonstrated. [ 9 ] Intraoperative diagnosis is the only sure means of detecting a dermoid, after careful examination of the contents, though newer imaging techniques like use of fat suppression images may help in making an accurate diagnosis, preoperatively.…”
Section: Discussionmentioning
confidence: 99%
“…Dermoid cysts within the cervical cord without associated spinal dysraphism are extremely rare with only six cases reported in the literature, till date,[ 4 – 9 ] and only two such cases with magnetic resonance imaging (MRI) studies. We report a case of intramedullary dermoid cyst in the cervical cord in an 18-year-old female patient.…”
Section: Introductionmentioning
confidence: 99%