Kudo M, Okawara S
No Shinkei Geka. 1980 Jun;8(6):583-6.
A case of an intraspinal cyst following a lumbar puncture is described. A 57 year-old man had a myelography at the level of L-2 revealing a disc herniation of L-4. About two years later he had another myelography for recurrent back pain, which disclosed an intradural extramedullary tumor at the level of L-2. Pathological diagnosis of the tumor was epidermoid cyst. From the topographical standpoint of the tumor, the previous lumbar puncture was thought to be the most likely cause of the epidermoid cyst. This is the third case report, to the best of our knowledge, which had a normal myelogram prior to the development of epidermoid cyst in the spinal canal.
本文描述了一例腰椎穿刺后发生的脊髓内囊肿病例。一名57岁男性在L-2水平进行脊髓造影显示L-4椎间盘突出。大约两年后,他因复发性背痛再次进行脊髓造影,结果显示L-2水平存在硬膜内髓外肿瘤。肿瘤的病理诊断为表皮样囊肿。从肿瘤的位置来看,之前的腰椎穿刺被认为是表皮样囊肿最可能的病因。据我们所知,这是第三例在椎管内表皮样囊肿形成之前脊髓造影正常的病例报告。