Costanzo Marianna Di, Spennato Pietro, Vitulli Francesca, Cinalli Maria Allegra, De Liso Maria, Ruggiero Claudio, Cinalli Giuseppe
Department of Pediatric Neurosurgery, Santobono-Pausilipon Children's Hospital AORN, Naples.
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odonotostomatological Sciences, Università degli Studi di Napoli "Federico II," Naples.
Neurosurg Focus Video. 2023 Oct 1;9(2):V17. doi: 10.3171/2023.7.FOCVID2366. eCollection 2023 Oct.
Epidermoid cysts are rare, benign neoplasms that account for less than 1% of all intraspinal tumors. The most common localization is in the lumbar area, and one-third of the tumors are intramedullary. In this video, the authors present removal of a thoracic intramedullary epidermoid tumor in a 6-year-old boy, carrier of a 22q11 gene duplication and affected by psychomotor retardation. He presented a 1-year history of progressive gait impairment. No history of lumbar puncture or trauma was reported. The procedure was performed under neurophysiological monitoring, and it was uneventful with complete recovery of neurological function. Technical nuances are illustrated.
表皮样囊肿是罕见的良性肿瘤，占所有脊髓内肿瘤的比例不到1%。最常见的部位是腰椎区域，三分之一的肿瘤位于髓内。在本视频中，作者展示了对一名6岁男孩的胸椎髓内表皮样肿瘤的切除，该男孩携带22q11基因重复且患有精神运动发育迟缓。他有1年进行性步态障碍的病史。未报告腰椎穿刺或外伤史。手术在神经生理监测下进行，过程顺利，神经功能完全恢复。文中阐述了技术细节。
