Summary
Seven cases of intraspinal inclusion cysts, surgically treated between 1970 and 1984, are reported in this paper. Four were epidermoid cysts and three dermoid. Two cysts were located in the thoracic spine (one dermoid and one epidermoid) and five in the lumbosacral region (three epidermoid and two dermoid). Associated spinal dysraphia was noted in five cases. Congenital dermal sinus was found in two cases, spina bifida cystica in one, spina bifida occulta in one, and diastematomyelia in one case. The average postoperative follow-up period was 5 years. No neurological symptoms were found in the five patients who received early surgical treatment, but for the two patients whose operations were late, there were some residual neurological deficits. Therefore, early and accurate diagnosis and radical surgical extirpation are emphasized.
Zusammenfassung
In diesem Bericht wird eine Serie von sieben Fallen eingeschlossener Cysten in der Wirbelsaule beschrieben, die zwischen 1970 und 1984 behandelt wurden. Vier dieser Cysten waren epidermoid, drei dermoid. Zwei befanden sich im Brustwirbelbereich (eine Epidermoidcyste and eine Dermoid cyste) und fünf in der lumbosakralen Region (drei Epidermoid- und zwei Dermoidcysten). In fünf Fällen wurden hiermit verbundene Disraphismen in der Wirbelsäule festgestellt, ein angeborener Dermalsinus in zwei Fällen, spina bifida cystica, spina bifida occulta und diastematomyelia jeweils in den drei übrigen. Im Durchschnitt betrug die postoperative Nachbehandlung 5 Jahre. Die Rolle der frühen und
Similar content being viewed by others
References
Boströem E (1897) Über die pialen Epidermoide, Dermoid und Lipoma und duralen Dermoide. Zentralbl Allg Pathol 8:1–98
Bremer J (1952) Dorsal intestinal fistula; accessory neurenteric canal; diastematomyelia. Arch Pathol 54:132–138
Burrows FGO (1968) Some aspects of occult spinal dysraphism; a study of 90 cases. Br J Radiol 41:496–507
Choremis C, Economos D, Papadatos C, Gargoulas A (1956) Intraspinal epidermoid tumors (cholesteatomas) in patients treated for tuberculous meningitis. Lancet 1:437–439
Garza-Mercado R (1983) Diastematomyelia und intramedullary epidermoid spinal cord tumor combined with extradural teratoma in an adult. J Neurosurg 58:954–958
Guidetti B, Gagliard FM (1977) Epidermoid and dermoid cysts; clinical evaluation and late surgical results. J Neurosurg 47:12–18
Kirsch WM, Hodges FJ III (1966) An intramedullary epidermal inclusion cyst of the thoracic cord associated with a previously repaired meningocele: case report. J Neurosurg 24:1018–1020
List CF (1941) Intraspinal epidermoids, dermoids, and dermal sinuses. Surg Gynecol Obstet 73:525–538
Martinez-Lage JF, Masegosa G, Sola G (1983) Epidermoid cyst occurring within a lumbosacral myelomeningocele. J Neurosurg 59:1095–1097
Muscatello G (1984) Über die angeborenen Spalten des Schadels und der Wirbelsaule. Arch Klin Chir 47:162–301
Oblu N, Wasserman L, Sandulescu G, Onofrei T (1967) Experimental investigation of the origin of intraspinal epidermoid cysts. Acta Neurol Scand 43:79–86
Takeuchi J, Ohta T, Kajikawa H (1978) Congenital tumors of the spinal cord. In: Vinken PJ, Bruyn GW (eds) Congenital malformations of the spine and spinal cord. Handbook of clinical neurology, vol. 32. North-Holland, Amsterdam, pp 355–392
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shikata, J., Yamamuro, T., Mikawa, Y. et al. Intraspinal epidermoid and dermoid cysts. Arch. Orth. Traum. Surg. 107, 105–109 (1988). https://doi.org/10.1007/BF00454496
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00454496