Cyst of the conus medullaris

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Bladder disturbance.

Patient Data

Age: 40 years
Gender: Female
mri

There is a small well-defined ovoid cyst of CSF signal on all sequences, measuring (16 x 14 x 13 mm) centered on the conus medullaris, No significant mass effect on cauda equina roots.

Mild bulging disc from L3/4 to L5/S1.

Case Discussion

Cyst of the conus medullary is considered as a rare benign ependymal cyst of the conus medullaris, probably due to abnormal persistence and cystic dilatation of the ventriculus terminalis.  It may be symptomatic and the patient presents bladder or bowel sphincter disturbance.  

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