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  11. Intradural Intramedullary Epidermoid Cyst In A 17-year-old Male: An Exceptionally Rare Case Report And Review Of The Literature

Intradural intramedullary epidermoid cyst in a 17-year-old male: An exceptionally rare case report and review of the literature

Babak Alijani1, Sahand Karimzadhagh2, Elahe Abbaspour2

  • 1Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran; Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.

International Journal of Surgery Case Reports
|February 10, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Intramedullary epidermoid cysts are rare spinal tumors. Surgical resection and physiotherapy led to significant recovery in a teenage patient with progressive neurological deficits.

Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Neurology

Background:

  • Spinal epidermoid tumors are rare, accounting for <1% of all spinal tumors.
  • Intramedullary epidermoid cysts (IECs) are exceptionally rare, representing 0.8% of spinal epidermoid tumors.
  • IECs present with varied clinical symptoms due to gradual growth, size, and location.

Observation:

  • A 17-year-old male presented with an 8-month history of progressive lower limb weakness, paresthesia, and gait disturbance.
  • Clinical findings included bilateral lower limb weakness, sensory deficits (vibration and proprioception), and abnormal reflexes.
  • MRI revealed a T3-T4 intramedullary lesion consistent with an epidermoid cyst.

Findings:

  • The patient underwent T2-T5 laminectomy and microsurgical resection of the intramedullary lesion.
Keywords:
Case reportIntraduralIntramedullary epidermoid cystSpinal epidermoid tumor

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  • Histopathological analysis confirmed the diagnosis of an epidermoid cyst.
  • Post-operative physiotherapy resulted in progressive improvement in lower limb coordination and mobility.

    • Implications:

    • Early and accurate diagnosis of rare spinal tumors is crucial for effective management.
    • Surgical resection is the primary treatment for intramedullary epidermoid cysts.
    • A multidisciplinary approach and rehabilitation are essential for optimizing patient outcomes.
    Spine