Epidermoid Cyst of the Conus Medullaris and Cauda Equina: A case report.
10.4184/jkss.2006.13.2.142
- Author:
Myung Sang MOON
1
;
Yong Shik SHIM
;
Doo Hoon SUN
Author Information
1. Department of Orthopaedic Surgery, Sun General Hospital, Daejeon, Korea. msmoonos@hotmail.com
- Publication Type:Case Report
- Keywords:
Epidermoid Cyst;
Conus Medullaris;
Cauda Equina
- MeSH:
Adult;
Anal Canal;
Cauda Equina*;
Conus Snail*;
Epidermal Cyst*;
Foot;
Humans;
Hypesthesia;
Low Back Pain;
Magnetic Resonance Imaging;
Muscular Atrophy;
Paralysis;
Spinal Cord;
Urinary Incontinence
- From:Journal of Korean Society of Spine Surgery
2006;13(2):142-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The objective of this study is to report on a case of a huge epidermoid cyst in the conus medullaris and cauda equina in a 43 year-old lady with the characteristic MRI and histologic findings. She suffered from low back pain, hypoesthesia around the anus and urinary incontinence for over 20 years. Since 15 years previously, she gradually developed right foot drop and muscle atrophy. She underwent surgery and unfortunately, she developed complete paralysis below T12 after complete tumor excision. At postoperative 4 weeks, evidence of partial neurological recovery down to the L3 roots was observed, but as yet there has been no further neurological recovery. Although total surgical excision is thought to be the only radical treatment, we recommend partial tumor excision to avoid damaging the spinal cord and cauda equina during the surgical procedure, than the radical excision, because this cyst is a very slowly growing benign tumor.
