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Spinal epidermoid cyst and cauda equina syndrome in a teenage girl

Abstract

A sixteen year old girl presented with a four year history of hip pain followed subsequently by back pain radiating down her left leg, progressive urgency of micturition, urinary incontinence, a feeling of bladder fullness and incomplete bladder emptying, faecal impaction and finally, numbness in both of her buttocks. A diagnosis of Cauda Equina Syndrome was suspected on the history and the clinical examination. A plain X-ray of her lumbar spine revealed evidence of a slow growing mass within the vertebral canal at the level of L3. A Magnetic Resonance Imaging (MRI) scan confirmed an intradural space occupying lesion at the same level. This lesion was surgically removed and histological examination revealed a benign epidermoid cyst.

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References

  1. Toglia, J. U., Netsky, M. G., Alexander, E. Jr.. Epithelial (epidermoid) tumors of the cranium. Their common nature and pathogenesis. J. Neurosurg. 1965: 23, 384–393.

    PubMed  CAS  Google Scholar 

  2. Takeuchi, J., Ohta, T., Kajikawa, H. Congenital Tumours of the Spinal Cord. In: Vinken, P. J. & Bruyn G. W. (eds.). Congenital Malformations of the Spine and Spinal Cord. Handbook of Clinical Neurology, vol. 32, 355–392, 1978.

    Google Scholar 

  3. Baxter, J. W., Netsky, M. G. Epidermoid and Dermoid Tumours: Pathology. In: Wilkins„ R. H. & Rengachary, S. S. Neurosurgery, vol. 1, 655–661, 1985.

    Google Scholar 

  4. Tognetti, F.et al. Intracranial squamous cell carcinoma arising in remnant of extirpated epidermoid cyst. Br. J. Neursurg. 1991: 5, 303–305.

    Article  CAS  Google Scholar 

  5. Lewis, A. J.et al. Squamous cell carcinoma arising in a suprasellar epidermoid cyst. Case Report. J. Neurosurg. 1983: 59, 538–541.

    CAS  Google Scholar 

  6. Abramson, R. C, Morawetz, R. B., Schutt, M. Multiple complications from an intracranial epidermoid cyst: case report and literature review. Neurosurgery 1989:24, 574–578.

    PubMed  Article  CAS  Google Scholar 

  7. Golodman, S. A., Gandy, S. E. Squamous cell carcinoma as a late complication of intracerebro-ventricular epidermoid cyst. Case Report. J. Neurosurg. 1987: 66, 618–620.

    Google Scholar 

  8. Guidetti, B, Gagliardi, F. M. Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J. Neurosurg. 1977: 47, 12–18.

    PubMed  CAS  Google Scholar 

  9. List, C. F. Intraspinal epidermoids, dermoids and dermal sinuses. Surg. Gynecol. Obstet. 1941: 73, 525–538.

    Google Scholar 

  10. Lunardi, P.et al. Long-term results of the surgical treatment of spinal dermoid and epidermoid tumors. Neurosurg. 1989: 25, 6, 860–864.

    Article  CAS  Google Scholar 

  11. Arseni, C.et al. Spinal dermoid tumours. Neurochirurgia 1977: 20, 108–116.

    PubMed  CAS  Google Scholar 

  12. Manno, N. J., Uihlein, A., Kernohan, J. W. Intraspinal epidermoids. J. Neurosurg. 1962: 19, 754–765.

    PubMed  CAS  Article  Google Scholar 

  13. Bailey, J. C. Dermoid tumors of the spinal cord. J. Neurosurg. 1970: 33, 676–681.

    PubMed  CAS  Google Scholar 

  14. Sachs, E. Jr., Horrax, G. A cervical and lumbar pilonidal sinus communicating with intraspinal dermoids. Report of 2 cases and review of the literature. J. Neurosurg. 1949: 6, 97–112.

    PubMed  Google Scholar 

  15. Saunders, R. L. Intramedullary epidermoid cyst associated with a dermal sinus. Case Report. J. Neurosurg. 1969: 31, 83–86.

    PubMed  CAS  Google Scholar 

  16. Shikata, J.et al. Intraspinal epidermoid and dermoid cysts: surgical results of seven cases. Arch. Orthop. Trauma Surg. 1988: 107, 105–109.

    PubMed  Article  CAS  Google Scholar 

  17. Martinez-Lage, J. F.et al. Epidermoid cyst occurring within a lumbosacral myelomeningocele. J. Neurosurg. 1983: 59, 1095–1097.

    PubMed  CAS  Google Scholar 

  18. Pear, B. L. Epidermoid and dermoid sequestration cyst. AJR 1970: 1, 148–155.

    Google Scholar 

  19. Donoghue, V.et al. Intraspinal epidermoid cysts. J. Comput. Assist. Tomogr. 1984: 8, 143–144.

    PubMed  Article  CAS  Google Scholar 

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O’Brien, D.P., Singh, J. & Dias, P.S. Spinal epidermoid cyst and cauda equina syndrome in a teenage girl. I.J.M.S. 161, 675 (1992). https://doi.org/10.1007/BF02942381

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  • DOI: https://doi.org/10.1007/BF02942381

Keywords

  • Spina Bifida
  • Dermoid Cyst
  • Epidermoid Cyst
  • Pilonidal Sinus
  • Cauda Equina Syndrome