Intramedullary cyst of the lumbar spinal cord

Case contributed by Dr Roberto Schubert

Presentation

Tingling an numbness of the lower extremities with alternating location.

Patient Data

Age: 25
Gender: Female

Large intramedullary lesion with fluid-equivalent signal on native T1 and T2 images. Sharp regular borders, no associated oedema, no contrast enhancement.

Case Discussion

Given the smooth borders and homogeneous content, the most probable diagnoses would be either developmental ependymal or epidermoid cyst (DWI might have helped here). Histology was not obtained so far.

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Case information

rID: 25834
Case created: 11th Nov 2013
Last edited: 4th May 2017
Tag: spine
Inclusion in quiz mode: Included

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