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Extensive Intradural Epidermoid Cysts with Cauda Equina Syndrome in the Lumbosacral Spine - Case Report -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2016, 23(2), pp.121-126
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

TAEKEUN AHN 1 Dongeun Shin 1 권영우 2 이상준 2

1차의과학대학교
2차의과대학 분당차병원 정형외과학교실

Accredited

ABSTRACT

Study Design: A case report. Objectives: To report a rare case of extensive epidermoid cysts in the lumbosacral spine. Summary of Literature Review: The intradural epidermoid cyst with extensive involvement is rare, and previous reports have reported only extensive intramedullary epidermoid cysts. Materials and Methods: A 75-year-old male presented with progressive motor weakness of both extremities beginning 3 days prior. MRI showed extensive intradural extramedullary epidermoid cysts in the lumbosacral region. We performed total laminectomy from the L1 to the L5 level, and the cystic mass was removed. Results: We confirmed the epidermoid cyst on histopathologic examination. Conclusions: Extensive extramedullary epidermoid cysts are difficult to remove completely. Attempting complete removal may result in neurological deficit. Therefore, when surgical intervention is planned, the poor postoperative prognosis should be taken into consideration.

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