Iatrogenic spinal epidermoid cyst after lumbar puncture using needles with stylet
Magimairajan Issaivanan1, Sandra Cohen, Mark Mittler
1Divisions of Hematology-Oncology and Stem Cell Transplantation, Cohen Children's Medical Center of New York, 269-01 76th Avenue, New Hyde Park, NY 11040, USA.
Pediatric Hematology and Oncology
|September 23, 2011
Summary
Iatrogenic spinal epidermoid tumors are rare complications of lumbar punctures. This case highlights a tumor developing after lumbar punctures, even with stylet use, in a young boy.
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Spinal Tumors
Background:
- Iatrogenic spinal epidermoid tumors are rare, often linked to lumbar punctures without stylets.
- These tumors arise from implanted skin fragments within the spinal canal.
Observation:
- A case of an 8-year-old boy with persistent lower back pain is presented.
- The patient underwent multiple lumbar punctures using disposable spinal needles with stylets.
- An iatrogenic spinal epidermoid tumor developed 26 months post-procedure.
Findings:
- This is the first reported case of an iatrogenic spinal epidermoid tumor following lumbar punctures with stylet use.
- Potential risk factors identified include an ill-fitting stylet, multiple punctures, and young patient age.
- Surgical excision via laminectomy resulted in significant symptomatic improvement.
Implications:
- This case expands the understanding of iatrogenic spinal epidermoid tumor etiology.
- It suggests that even with stylet use, careful technique and patient factors are crucial in preventing these rare tumors.
- Highlights the importance of considering iatrogenic causes in pediatric spinal tumors.
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