Extensive Intradural Epidermoid Cysts with Cauda Equina Syndrome in the Lumbosacral Spine: Case Report.
10.4184/jkss.2016.23.2.121
- Author:
Tae Keun AHN
1
;
Dong Eun SHIN
;
Young Woo KWON
;
Sang June LEE
Author Information
1. Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University, Korea. shinde@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Cauda equina syndrome;
Intradural-extramedullary;
Epidermoid cyst
- MeSH:
Aged;
Cauda Equina*;
Epidermal Cyst*;
Extremities;
Humans;
Laminectomy;
Lumbosacral Region;
Magnetic Resonance Imaging;
Male;
Polyradiculopathy*;
Prognosis;
Spine*
- From:Journal of Korean Society of Spine Surgery
2016;23(2):121-126
- CountryRepublic of Korea
- Language:Korean
-
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 AND METHODS: 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.
