Jeong In-Ho, Lee Jung-Kil, Moon Kyung-Sub, Kwak Hyoung-Jun, Joo Sung-Pil, Kim Tae-Sun, Kim Jae-Hyoo, Kim Soo-Han
Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, South Korea.
Pediatr Neurosurg. 2006;42(6):395-8. doi: 10.1159/000095573.
Iatrogenic spinal epidermoid tumors are extremely rare and may be caused by skin fragments which were implanted in the spine as a result of a trauma or lumbar puncture. Due to the time lag between the lumbar puncture and the development of a symptomatic tumor, this relationship is often overlooked and can cause a delay in the proper diagnosis. Here, we report a rare case of an intraspinal epidermoid tumor, which developed 7 years after a lumbar puncture in a 12-year-old boy, who presented with back pain and radiating pain to the posterior of both thighs. A total excision of the tumor via L3-L4 hemilaminectomy yielded a good functional recovery.
医源性脊柱表皮样肿瘤极为罕见,可能由外伤或腰椎穿刺导致的皮肤碎片植入脊柱引起。由于腰椎穿刺与有症状肿瘤出现之间存在时间间隔,这种关联常被忽视,可能导致正确诊断延迟。在此,我们报告一例罕见的脊髓内表皮样肿瘤病例,该肿瘤在一名12岁男孩腰椎穿刺7年后出现,患儿表现为背痛并向双侧大腿后部放射痛。通过L3 - L4半椎板切除术对肿瘤进行全切,功能恢复良好。