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Thoracic intramedullary epidermoid cyst-timely fashion diagnosis and treatment

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Abstract

Epidermoid cysts are composed of stratified squamous epithelium, which develop from inclusion of ectodermal tissue remnants entrapped during primitive neural tube closure period between the 3rd and 5th weeks of gestation. Intramedullary epidermoid cysts (IEC) are very rare in childhood. Eleven cases have been reported previously. Even though it is a rare entity, early diagnosis with timely fashioned surgical treatment has a great influence on patients’ symptoms, especially if there are myelopathic findings. In this case report, we demonstrate this fact with a demonstrative clinical case and review radiological, pathological, and surgical perspectives with literature review.

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References

  1. Gonzalvo A, Hall N, McMahon JH, Fabinyi GC (2009) Intramedullary spinal epidermoid cyst of the upper thoracic region. J Clin Neurosci Off J Neurosurg Soc Austral 16(1):142–144. doi:10.1016/j.jocn.2008.04.017

    CAS  Google Scholar 

  2. Fereydoonian NA, Bakhti S, Fereshtehnejad SM, Tabibkhooei AR (2013) Intramedullary thoracic spine epidermoid cyst with myelopathic presentations: a report of a rare case. Clin Neurol Neurosurg 115(6):841–843. doi:10.1016/j.clineuro.2012.08.002

    Article  PubMed  Google Scholar 

  3. Cataltepe O, Berker M, Akalan N (2004) A giant intramedullary spinal epidermoid cyst of the cervicothoracic region. Pediatr Neurosurg 40(3):120–123. doi:10.1159/000079853

    Article  PubMed  Google Scholar 

  4. Hullay J, Oszlanszky O, Halasz P (1962) Intramedullar epidermoid successfully operated upon. Acta Neurochir 10:410–414

    Article  CAS  PubMed  Google Scholar 

  5. Tekkok IH, Palaoglu S, Erbengi A, Onol B (1992) Intramedullary epidermoid cyst of the cervical spinal cord associated with an extraspinal neuroenteric cyst: case report. Neurosurgery 31(1):121–125

    CAS  PubMed  Google Scholar 

  6. Roux A, Mercier C, Larbrisseau A, Dube LJ, Dupuis C, Del Carpio R (1992) Intramedullary epidermoid cysts of the spinal cord. Case report. J Neurosurg 76(3):528–533. doi:10.3171/jns.1992.76.3.0528

    Article  CAS  PubMed  Google Scholar 

  7. Onder A, Kadioglu H, Takci E, Kayaoglu C, Tuzun Y, Gundogdu C, Aydin IH (1993) Intramedullary epidermoid Cyst (a case report). Turk Norosirurji Dergisi 3:41–44

    Google Scholar 

  8. Jadhav RN, Khan GM, Palande DA (1999) Intramedullary epidermoid cyst in cervicodorsal spinal cord. J Neurosurg 90(1 Suppl):161

    CAS  PubMed  Google Scholar 

  9. Rocha Junior MA, de Carvalho GT, Faria MP, Faglioni W Jr, de Souza AA (2003) Intramedullary epidermoid tumor: case report. Arq Neuropsiquiatr 61(3B):867–869

    Article  PubMed  Google Scholar 

  10. Ferrara P, Costa S, Rigante D, Mule A, D’Aleo C, Pulitano S, Belli P, Menchinelli P, Caldarelli M (2003) Intramedullary epidermoid cyst presenting with abnormal urological manifestations. Spinal Cord 41(11):645–648. doi:10.1038/sj.sc.3101482

    Article  CAS  PubMed  Google Scholar 

  11. Kumar R, Singh V (2004) Intramedullary mass lesion of the spinal cord in children of a developing milieu. Pediatr Neurosurg 40(1):16–22. doi:10.1159/000076572

    Article  PubMed  Google Scholar 

  12. Kumar A, Singh P, Jain P, Badole CM (2010) Intramedullary spinal epidermoid cyst of the cervicodorsal region: a rare entity. J Pediatr Neurosci 5(1):49–51. doi:10.4103/1817-1745.66675

    Article  PubMed Central  PubMed  Google Scholar 

  13. Zavanone M, Guerra P, Rampini PM, Crotti F, Vaccari U (1991) A cervico-dorsal intramedullary epidermoid cyst. Case report and review of the literature. J Neurosurg Sci 35(2):111–115

    CAS  PubMed  Google Scholar 

  14. Brohi SR, Qureshi SM, Rajput SS, Bhatti NK (2010) Thoracic intramedullary epidermoid with paraplegia for 12 years. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP 20 (2):135-136. doi:02.2010/JCPSP.135136

  15. Fazio MG, Kil AM, Rooks VJ, Biega TJ (2013) Diffusion-weighted magnetic resonance imaging of an intramedullary epidermoid cyst with dorsal dermal sinus tract in a toddler. Case Rep Radiol 2013:878713. doi:10.1155/2013/878713

    PubMed Central  PubMed  Google Scholar 

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Acknowledgments

Murat Şakir Ekşi, M.D. was supported by a grant from Tubitak (The Scientific and Technological Research Council of Turkey), Grant Number 1059B191400255).

Conflict of interest

Authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, National Oncology Center, Az1012, Şerifzade sok. 10, Baku, Azerbaijan

    Rasim Babayev

  2. Department of Pathology, National Oncology Center, Baku, Azerbaijan

    Bahadur Abbasov

  3. Department of Orthopedic Surgery-Spine Center, University of California at San Francisco, San Francisco, CA, USA

    Murat Şakir Ekşi

Authors
  1. Rasim Babayev
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  2. Bahadur Abbasov
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  3. Murat Şakir Ekşi
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Correspondence to Rasim Babayev.

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Babayev, R., Abbasov, B. & Ekşi, M.Ş. Thoracic intramedullary epidermoid cyst-timely fashion diagnosis and treatment. Childs Nerv Syst 31, 793–796 (2015). https://doi.org/10.1007/s00381-015-2625-6

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  • DOI: https://doi.org/10.1007/s00381-015-2625-6

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