脂肪脊髓脊膜膨出修补术后15年发生的脊髓内表皮样囊肿。病例报告。

Intraspinal epidermoid cyst occurring 15 years after lipomyelomeningocele repair. Case report.

作者信息

Song J H, Kim M H, Shin K M

机构信息

Department of Neurosurgery, Mokdong Hospital, Ewha Women's University, College of Medicine, Seoul, Korea.

出版信息

J Neurosurg. 1999 Apr;90(2 Suppl):252-4. doi: 10.3171/spi.1999.90.2.0252.

DOI:10.3171/spi.1999.90.2.0252

PMID:10199258

Abstract

The authors report the case of a spinal epidermoid cyst that developed in a patient who had undergone surgery for lipomyelomeningocele repair 15 years earlier. The patient presented with symptoms of retethering. Magnetic resonance imaging revealed a cystic intraspinal mass that extended from L-2 to L-5. The mass proved to be an epidermoid cyst. Spinal epidermoid cysts can cause retethering after a repair of lipomyelomeningocele, and the risk of this development can be present for decades.

摘要

作者报告了一例脊髓表皮样囊肿病例，该囊肿发生在一名15年前接受过脂肪瘤型脊髓脊膜膨出修补手术的患者身上。患者出现了脊髓栓系症状。磁共振成像显示一个囊性椎管内肿物，从L-2延伸至L-5。该肿物经证实为表皮样囊肿。脊髓表皮样囊肿可在脂肪瘤型脊髓脊膜膨出修补术后导致脊髓栓系，且这种情况发生的风险可能持续数十年。