Department of Neurosurgery, Command Hospital (Air Force), Bengaluru, Karnataka, India.
Department of Neurosurgery, Army Hospital (Research and Referral), New Delhi, India.
J Cancer Res Ther. 2020 Oct-Dec;16(6):1538-1540. doi: 10.4103/jcrt.JCRT_544_17.
Epidermoid cysts of the spinal cord without spinal dysraphisms are rare lesions and intramedullary cysts are still rarer. Approximately only over 60 cases are reported in literature worldwide. Magnetic resonance imaging is the imaging modality of choice for the diagnosis of these lesions. Management of these lesions is by total surgical excision, although at times, it is not possible due to adherence of the capsule to the parenchyma of the spinal cord which may be the cause of recurrence. To our knowledge, this is the second case of recurrent intramedullary epidermoid cyst of spinal cord. We report a case of intramedullary epidermoid cyst which recurred after 7 years following near-total excision of tumor at our institute.
脊髓表皮样囊肿而无脊髓脊膜裂畸形较为罕见,而脊髓内囊肿则更为罕见。全世界文献中报道的此类病例仅超过 60 例。磁共振成像(MRI)是诊断这些病变的首选影像学方法。这些病变的治疗方法是完全手术切除,但有时由于囊肿与脊髓实质粘连,无法进行手术切除,这可能是复发的原因。据我们所知,这是我院第二例脊髓内复发性表皮样囊肿。我们报告了一例我院行肿瘤近全切除术后 7 年复发的脊髓内表皮样囊肿。