Paediatric spinal epidermoid cyst

Case contributed by Saurabh Rakesh Dembla , 22 Oct 2021
Diagnosis almost certain
Changed by Fabio Macori, 22 Oct 2021

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .

References changed:

  • 1. Per H, Kumandaş S, Gümüş H, Yikilmaz A, Kurtsoy A. Iatrogenic Epidermoid Tumor: Late Complication of Lumbar Puncture. J Child Neurol. 2007;22(3):332-6. <a href="https://doi.org/10.1177/0883073807300531">doi:10.1177/0883073807300531</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17621507">Pubmed</a>
  • 2. Knipe H & Wein S. Spinal Epidermoid Cyst. Radiopaediaorg. 2012. <a href="https://doi.org/10.53347/rid-19659">doi:10.53347/rid-19659</a>
  • 3. Beechar V, Zinn P, Heck K et al. Spinal Epidermoid Tumors: Case Report and Review of the Literature. Neurospine. 2018;15(2):117-22. <a href="https://doi.org/10.14245/ns.1836014.007">doi:10.14245/ns.1836014.007</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/29991240">Pubmed</a>
  • 4. Manno N, Uihlein A, Kernohan J. Intraspinal Epidermoids. J Neurosurg. 1962;19(9):754-65. <a href="https://doi.org/10.3171/jns.1962.19.9.0754">doi:10.3171/jns.1962.19.9.0754</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/14469387">Pubmed</a>
  • 1. Per H, Kumandaş S, Gümüş H, Yikilmaz A, Kurtsoy A. Iatrogenic epidermoid tumor: late complication of lumbar puncture. J Child Neurol. 2007 Mar;22(3):332-6. doi: 10.1177/0883073807300531. PMID: 17621507.
  • 2. Wein, S., Knipe, H. Spinal epidermoid cyst. Reference article, Radiopaedia.org. (accessed on 22 Oct 2021) https://doi.org/10.53347/rID-19659
  • 3. Beechar VB, Zinn PO, Heck KA, Fuller GN, Han I, Patel AJ, Ropper AE. Spinal Epidermoid Tumors: Case Report and Review of the Literature. Neurospine. 2018 Jun;15(2):117-122. doi: 10.14245/ns.1836014.007. Epub 2018 Jun 19. PMID: 29991240; PMCID: PMC6104727.
  • 4. MANNO NJ, UIHLEIN A, KERNOHAN JW. Intraspinal epidermoids. J Neurosurg. 1962 Sep;19:754-65. doi: 10.3171/jns.1962.19.9.0754. PMID: 14469387.

Updates to Study Attributes

Findings was changed:

AMRI shows the presence of a well defined-defined intradural extramedullary cystic lesion in the lumbar region of the spinal canal which. The lesion is hyperintense on T2 weighted &and STIR sequences, hypointense on T1 weighted images &, and shows post contrast-contrast enhancement of the wall. The hyperintense signal is suppressed on FLAIR &and the lesion shows restricted diffusion. Features are suggestive of an epidermoid cyst in the lumbar spinal canal.

The lesion is compressingcompresses the cauda equina &and conus medullaris towards the left side without any evidence of abnormal signal intensity in the conus medullaris.

Also, notethere is made of Tarlov cysts at S2-3 levels &and fatty infiltration of filum terminale.

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