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Long segment cervicothoracic intramedullary dermoid with concomitant conal lesion - A case report
Andrew Aranha1, Pankaj Kumar1, Ajay Choudhary1
1Department of Neurosurgery , Post Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi, Delhi, India.
Surgical Neurology International
|October 7, 2020
Summary
Long segment spinal dermoid cysts, rare benign tumors, can cause significant myelopathy. Partial surgical removal offers a viable treatment option, improving neurological function.
Area of Science:
- Neurosurgery
- Neurology
- Oncology
Background:
- Spinal dermoid cysts are rare congenital or acquired ectodermal tumors.
- Long segment intramedullary involvement is exceptionally uncommon, with limited case reports.
Observation:
- A 30-year-old female presented with progressive quadriparesis and incontinence due to myelopathy.
- MRI revealed extensive multifocal intramedullary masses from C2 to T4 and T12-L1.
- Histopathology confirmed multifocal intramedullary dermoid cysts.
Findings:
- Surgical decompression led to significant neurological improvement within one month.
- Partial surgical extirpation is a feasible treatment approach.
Implications:
- This case highlights the rarity and management of extensive spinal dermoid cysts.
- Partial resection may be beneficial, especially when tumors adhere to neural structures.
