Gonzalvo A, Hall N, McMahon J H A, Fabinyi G C
Department of Neurosurgery, Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084, Australia.
J Clin Neurosci. 2009 Jan;16(1):142-4. doi: 10.1016/j.jocn.2008.04.017. Epub 2008 Nov 14.
We report a 40-year-old male who presented with a two year history of thoracic cord compression. MRI of the thoracic spine demonstrated a diffuse, non-gadolinium enhancing intramedullary spinal cord tumour, extending from the C7 to T2 vertebral body levels. The lesion was surgically resected and the pathology revealed an epidermoid cyst. Epidermoid cysts are rare slow-growing lesions apparently resulting from inclusion of ectodermal tissue during the closure of the neural tube. The average age of presentation is about 35 years and the history of the symptoms is usually long. The treatment is surgical, and complete removal is the goal, if possible.
我们报告一名40岁男性，有两年胸段脊髓受压病史。胸椎MRI显示一个弥漫性、无钆增强的髓内脊髓肿瘤，从C7椎体水平延伸至T2椎体水平。该病变经手术切除，病理显示为表皮样囊肿。表皮样囊肿是罕见的生长缓慢的病变，显然是由于神经管闭合期间外胚层组织包埋所致。平均发病年龄约为35岁，症状病史通常较长。治疗方法是手术，若有可能，目标是完整切除。
