Per Hüseyin, Kumandaş Sefer, Gümüş Hakan, Yikilmaz Ali, Kurtsoy Ali
Department of Pediatric Neurology, Erciyes University, Medical Faculty, Kayseri, Turkey.
J Child Neurol. 2007 Mar;22(3):332-6. doi: 10.1177/0883073807300531.
Intraspinal epidermoid tumors can be congenital and acquired. Acquired intraspinal epidermoid tumors are extremely rare. Epidermal elements are implanted into the arachnoid space by trauma, spinal anesthesia, surgery, bullet wounds, myelography, or lumbar puncture. Approximately 40% of acquired epidermoid tumors are considered a late complication of lumbar puncture. The authors report the case of an 8-year-old boy who presented with a 1-year history of back and hip pain and radiating pain to both thighs posterior. Lumbar puncture was performed in the neonatal intensive care unit to rule out meningitis in the patient's past medical history. The patient underwent total surgical excision of the epidermoid tumor. Pathologic examination revealed the diagnosis of epidermoid tumor.
intraspinal epidermoid tumor; lumbar puncture; children.
椎管内表皮样囊肿可分为先天性和后天性。后天性椎管内表皮样囊肿极为罕见。表皮成分可通过外伤、脊髓麻醉、手术、枪伤、脊髓造影或腰椎穿刺植入蛛网膜下腔。约40%的后天性表皮样囊肿被认为是腰椎穿刺的晚期并发症。作者报告了一例8岁男孩的病例,该男孩有1年的背部和臀部疼痛病史,并伴有双侧大腿后侧放射性疼痛。患者曾在新生儿重症监护病房接受腰椎穿刺以排除既往病史中的脑膜炎。患者接受了表皮样囊肿的全手术切除。病理检查确诊为表皮样囊肿。
椎管内表皮样囊肿;腰椎穿刺;儿童