10
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      A Rare Case of Intramedullary Dermoid with Atypical Presentation

      case-report

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          ABSTRACT

          Background

          Intraspinal dermoid cysts are rare and benign tumors that occur primarily due to the defective closure of the neural tube, an ectodermal derivative, during the process of development. They can appear subdurally, extramedullary or intramedullary, with intramedullary presentations being relatively rare.

          Case presentation

          We present here a 24-year-old lady with low backache radiating to both lower limbs, with tingling and numbness of both lower limbs for 3 years. MRI study of the lumbosacral spine revealed a heterogeneous intradural mass lesion in the conus medullaris region at L2-L3 level (low lying cord) displacing the traversing nerve roots. Total excision of the tumor was tone and sent for biopsy which revealed keratinocytes with keratin flakes, based on which a diagnosis of dermoid was made.

          Conclusion

          The intramedullary location of a primary dermoid cyst an adult is rare and thus makes this case a very unique and rare entity Keywords : dermoid cysts, intramedullary lesions, spinal cord tumours.

          How to cite this article

          Barooah RK, Dutta A. A Rare Case of Intramedullary Dermoid with Atypical Presentation. J Spinal Surg 2017;4(1):19-21.

          Related collections

          Most cited references9

          • Record: found
          • Abstract: found
          • Article: not found

          Magnetic resonance imaging of intramedullary spinal cord lesions: a pictorial review.

          Magnetic resonance imaging is the current imaging modality of choice in the evaluation of patients presenting with myelopathic symptoms in the search for spinal cord lesions. It is important for the radiologist to recognize and differentiate nonneoplastic from the neoplastic process of the spinal cord as the differentiation of the 2 entities is extremely crucial to the neurosurgeon. This article presents a broad spectrum of benign intramedullary spinal abnormalities including syrinx, contusion, abscess, infarction, myelitis, multiple sclerosis, sarcoid, cavernoma, and arteriovenous malformation. Rare intramedullary neoplasms including dermoid tumor, astrocytoma, ependymoma, hemangioblastoma, lymphoma, ganglioneuroblastoma, and metastases are also illustrated. The clinical presentation and magnetic resonance signal characteristics as well as the differential diagnosis of the intramedullary lesions are discussed. The potential pitfalls in the differentiation of tumors from nonneoplastic disease of the spinal cord are also elucidated.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Intramedullary dermoid tumor diagnosed with the assistance of magnetic resonance imaging.

            Intramedullary dermoid tumors are unusual. Traditional methods of diagnosing spinal tumors have included clinical suspicion, plain roentgenography, myelography, and computed tomography. A case of intramedullary tumor provisionally diagnosed preoperatively by traditional methods and specifically as dermoid tumor with the assistance of magnetic resonance imaging is presented. Diagnosis and treatment of spinal dermoid tumors with an emphasis on magnetic resonance imaging is discussed.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Spinal dermoid tumours.

              The present work is a detailed analysis of 12 cases of spinal dermoid tumours operated on between 1935 and 1976. Of these 11 were medullary (3 intramedullary and 8 subdural extramedullary), representing an incidence of 0-80% of medullary tumours, and 1 was an extraspinal coccygeal tumour. Most of the tumours were located in the spinal canal and conus. Good results were obtained following total ablation in 7 cases and partial removal of the tumour in 5 cases.
                Bookmark

                Author and article information

                Contributors
                Role: Assistant Professor
                Role: Senior Resident
                Journal
                JOSS
                The Journal of Spinal Surgery
                JOSS
                Jaypee Brothers Medical Publishers
                2349-0462
                2348-6031
                January-March 2017
                : 4
                : 1
                : 19-21
                Affiliations
                [1,2 ]Department of Neurosurgery, Gauhati Medical College and Hospital, Guwahati, Assam, India
                Author notes
                Abinash Dutta, Senior Resident Department of Neurosurgery, Gauhati Medical College and Hospital, Guwahati, Assam, India, Phone:+917896977351 e-mail: abinashdutta1@ 123456gmail.com
                Article
                10.5005/jp-journals-10039-1119
                173d8891-e327-4d4d-8a46-adbaa866ba0f
                Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.

                Creative Commons Attribution 4.0

                History
                Categories
                CASE REPORT
                Custom metadata
                joss-2017-4-19.pdf

                General medicine,Pathology,Surgery,Sports medicine,Anatomy & Physiology,Orthopedics
                Spinal cord tumour,Dermoid cysts,Intramedullary cysts

                Comments

                Comment on this article