Summary
Intraspinal tumours of cutaneous origin associated with various spinal dysraphisms have been well documented in the literature. However, the metachronous development of intra- and extra-medullary tumours in conjunction with dorsal meningocele is rare. The authors report a patient with a thoracic dorsal meningocele and congenital intradural extramedullary epidermoid tumour. The patient developed an intramedullary epidermoid growth 12 years later. Subtotal resection of the tumour predisposed to a later recurrence.
Meningocele is not always an isolated clinical entity but the concurrent occult lesions are usually veiled by the more conspicuous surface anomaly. Thorough magnetic resonance imaging of the whole neural axis helps to identify associated pathologies. Delicate intradural exploration by a microsurgical approach is necessary to achieve appropriate treatment.
References
JB Delashaw TS Park WM Cail DG Vollmer (1987) ArticleTitleCervical meningocele and associated spinal anomalies Childs Nerv Syst 3 165–169 Occurrence Handle3652068 Occurrence Handle10.1007/BF00717894 Occurrence Handle1:STN:280:DyaL1c%2Fgt1SksQ%3D%3D
Y Ersahin E Barcin S Mutluer (2001) ArticleTitleIs meningocele an isolated lesion? Childs Nerv Syst 17 487–490 Occurrence Handle11508539 Occurrence Handle10.1007/s003810100454 Occurrence Handle1:STN:280:DC%2BD3MvmtlegsQ%3D%3D
JF Martinez-Lage J Masegosa J Sola M Poza (1983) ArticleTitleEpidermoid cyst occurring within a lumbosacral myelomeningocele. Case report J Neurosurg 59 1095–1097 Occurrence Handle6631508 Occurrence Handle1:STN:280:DyaL2c%2FjsFaqtg%3D%3D
MD Nelson SuffixJr M Bracchi TP Naidich DG Mclone (1988) ArticleTitleThe natural history of repaired myelomeningocele Radiographics 8 695–706 Occurrence Handle3051161
D Pang MS Dias (1993) ArticleTitleCervical myelomeningocele Neurosurgery 33 363–372 Occurrence Handle8413865 Occurrence Handle10.1097/00006123-199309000-00003 Occurrence Handle1:STN:280:DyaK2c%2FitVWhsg%3D%3D
DH Reigel (1983) Tethered spinal cord RP Humphreys (Eds) Concepts in pediatric neurosurgery NumberInSeries4 S Karger Basel 142–164
K Sakai K Sakamoto N Kobayashi H Iguchi (1996) ArticleTitleDermoid cyst within an upper thoracic meningocele Surg Neurol 45 287–292 Occurrence Handle8638228 Occurrence Handle10.1016/0090-3019(95)00245-6 Occurrence Handle1:STN:280:DyaK283itFegtw%3D%3D
JH Song MH Kim KM Shin (1999) ArticleTitleIntraspinal epidermoid cyst occurring 15 years after lipomyelomeningocele repair. Case report J Neurosurg (spine 2) 90 252–254 Occurrence Handle1:STN:280:DyaK1M3htlemsg%3D%3D
BB Storrs (1994) ArticleTitleAre dermoid and epidermoid tumors preventable complications of myelomeningocele repair? Pediatr Neurosurg 20 160–162 Occurrence Handle8161490 Occurrence Handle10.1159/000120780 Occurrence Handle1:STN:280:DyaK2c3htlyjsg%3D%3D
DM Vogter JL Culberson SS Schochet OF Gabriele HH Kaufman (1987) ArticleTitle“High spinal” dysrhaphism. Case report of a complex cervical myelocele Acta Neurochir (Wien) 84 136–139 Occurrence Handle10.1007/BF01418839 Occurrence Handle1:STN:280:DyaL2s3gvFakuw%3D%3D
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Correspondence: Chih-Jen Wang, M.D., Ph.D., Department of Neurosurgery, Kaohsiung Medical University, 100, Tzyou 1st Road, Kaohsiung 807, Taiwan.
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Yen, CP., Kung, SS., Kwan, AL. et al. Epidermoid cysts associated with thoracic meningocele. Acta Neurochir (Wien) 150, 305–309 (2008). https://doi.org/10.1007/s00701-007-1398-4
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DOI: https://doi.org/10.1007/s00701-007-1398-4