Extensive Intradural Epidermoid Cysts with Cauda Equina Syndrome in the Lumbosacral Spine: Case Report
Journal of Korean Society of Spine Surgery
; : 121-126, 2016.
Article
in Ko
| WPRIM
| ID: wpr-219354
Responsible library:
WPRO
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
To report a rare case of extensive epidermoid cysts in the lumbosacral spine. SUMMARY OF LITERATURE REVIEW The intradural epidermoid cyst with extensive involvement is rare, and previous reports have reported only extensive intramedullary epidermoid cysts. MATERIALS ANDMETHODS:
A 75-year-old male presented with progressive motor weakness of both extremities beginning 3 days prior. MRI showed extensive intradural extramedullary epidermoid cysts in the lumbosacral region. We performed total laminectomy from the L1 to the L5 level, and the cystic mass was removed.RESULTS:
We confirmed the epidermoid cyst on histopathologic examination.CONCLUSIONS:
Extensive extramedullary epidermoid cysts are difficult to remove completely. Attempting complete removal may result in neurological deficit. Therefore, when surgical intervention is planned, the poor postoperative prognosis should be taken into consideration.Key words
Full text:
1
Index:
WPRIM
Main subject:
Polyradiculopathy
/
Prognosis
/
Spine
/
Magnetic Resonance Imaging
/
Cauda Equina
/
Epidermal Cyst
/
Extremities
/
Laminectomy
/
Lumbosacral Region
Type of study:
Prognostic_studies
Limits:
Aged
/
Humans
/
Male
Language:
Ko
Journal:
Journal of Korean Society of Spine Surgery
Year:
2016
Type:
Article