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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Iatrogenic intraspinal epidermoid tumor: case report.
In-Ho Jeong1, Jung-Kil Lee, Kyung-Sub Moon
1Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, South Korea.
Pediatric Neurosurgery
|October 19, 2006
Summary
Iatrogenic spinal epidermoid tumors are rare complications of lumbar punctures. This case highlights a delayed diagnosis in a boy who developed a tumor 7 years after the procedure.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Iatrogenic spinal epidermoid tumors are rare, often linked to skin fragment implantation during procedures like lumbar puncture.
- The latency period between lumbar puncture and tumor development can lead to diagnostic delays.
Observation:
- A 12-year-old boy presented with back pain and radiating thigh pain.
- Symptoms manifested 7 years after an initial lumbar puncture.
Findings:
- A rare intraspinal epidermoid tumor was diagnosed.
- Complete tumor excision was achieved through L3-L4 hemilaminectomy.
Implications:
- This case underscores the importance of considering iatrogenic causes for spinal tumors, even with delayed presentation.
- Early recognition and surgical intervention are crucial for favorable patient outcomes.

