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Ruptured spinal dermoid cyst with chemical arachnoiditis and disseminated intracranial lipid droplets

  • Diagnostic Neuroradiology
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Abstract

A 33-year-old man presented with a 3-month history of gradually progressive leg weakness. Spinal MRI and myelography with CT demonstrated an extensive intradural abnormality suggesting a diffuse inflammatory or neoplastic process. Only after cranial CT and MRI demonstrated lipid droplets was the diagnosis of a ruptured spinal dermoid cyst suggested. Subsequent laminectomy revealed a ruptured intradural dermoid cyst in the lumbar spine, with chemical arachnoiditis.

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Roeder, M.B., Bazan, C. & Jinkins, J.R. Ruptured spinal dermoid cyst with chemical arachnoiditis and disseminated intracranial lipid droplets. Neuroradiology 37, 146–147 (1995). https://doi.org/10.1007/BF00588632

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  • DOI: https://doi.org/10.1007/BF00588632

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