Spinal Intramedullary Epidermoid Cyst: Case Report and Updated Literature Review

Sîrbu, Octavian-Mihai; Chirteş, Alin-Vasile; Mitricã, Marian; Sîrbu, Carmen Adella

doi:10.1016/j.wneu.2020.03.207

Cited by 20 publications

(23 citation statements)

References 78 publications

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“…Epidermoid cysts are rare benign tumors. It made up for less than 1% of all intraspinal tumors [ 1 ]. Since the first intramedullary epidermoid cyst case reported by Chiari in 1883, there are more than 100 cases published [ 2 ].…”

Section: Introduction and Importancementioning

confidence: 99%

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Microsurgery for intradural epidermoid cyst at cauda equina level in a 9-year-old child: A case report

Duong

Pham

Chu

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Epidermoid cysts are rare benign tumors. Here, we present a case of spontaneous intradural epidermoid cyst at cauda equina level in a 9-year-old patient, which we believed the first case to be reported in Vietnam. Case presentation A 9-year-old boy presented with 4 months of spontaneous left lower extremity muscle weakness and paresthesia. The MRI images suggested the diagnosis of intradural epidermoid cyst at cauda equina level. The patient underwent L5–S1 laminectomy and durotomy for tumor resection. The histology confirmed the diagnosis of epidermoid cyst. Post-operative images demonstrated total cyst removal. Clinical discussion The epidermiology, presentation and diagnosis and strategy of treatments as well as their outcomes were discussed. Conclusion Diagnosis of spinal epidermoid cyst is often delayed for its obscure presentation. Microsurgical dissection along with intra-operative mobile C-Arms enable total tumor resection while preserving spinal stability and neurological function. Follow-up with post-operative magnetic resonance imaging and tumor marker are helpful.

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Section: Introduction and Importancementioning

confidence: 99%

“…Iatrogenic spinal epidermoid cysts following lumbar puncture have been reported in the literature [ 3 ]. The diagnosis and treatment of intraspinal epidermoid cyst are often delayed, for its slow growth and obscure clinical manifestations [ 1 ].…”

Section: Introduction and Importancementioning

confidence: 99%

Microsurgery for intradural epidermoid cyst at cauda equina level in a 9-year-old child: A case report

Duong

Pham

Chu

et al. 2021

International Journal of Surgery Case Reports

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“…[1][2][3] Review of literature in the present study revealed, that the age ranged between 1 to 71 years. In their review Octavian M S et al 4 reported that congenital cysts were 62.9% while acquired cysts are seen in 38.1% of patients. Congenital epidermoid cysts are usually associated with spina bifida, dermal sinus tract and other neural tube defects such asmyelomeningocele, spina bifida occulta, spinal cord lipoma, scoliosis cutaneous/dermal defects.…”

Section: Discussionmentioning

confidence: 97%

“…The most common localization was in the lumbar area and one third of the tumors were intramedullary. 4 Acquired epidermoid cysts have been mostly reported in the region of the cauda equina (below the L1 level), 10 because lumbar punctures are usually performed around the level of the iliac crests.…”

Section: Discussionmentioning

confidence: 99%

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Isolated extramedullary intradural thoracic epidermoid cyst: A rare case report

Rizwan¹,

Mufti

Tripathi³

et al. 2021

IJASHNB

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Spinal epidermoid cyst is a rare entity. It may be congenital with associated spinal dysraphism such asspina bifida ,dermal sinus tract and other neural tube defects or acquired due to repeated lumbar puncture and trauma. Congenital spinal epidermoid cysts without spinal dysraphism are rare. Here we are reporting a rare and interesting case of thoracic extramedullary intradural epidermoid cyst with no associated features of spinal dysraphism or history of iatrogenic trauma in a young male patient.

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