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Rare intramedullary localization of epidermoid cyst – case report

Maciej Kolasa1, Paweł Kolasa1,
Dorota Jesionek-Kupnicka2, Radzisław Kordek2
Affiliation and address for correspondence
AKTUALN NEUROL 2013, 13 (3), p. 179–182
Abstract

Authors present a case of 54-year-old female treated for intramedullary epidermoid cyst. Patient complained of atypical pain and dysesthesia in lumbosacral region for many years. Patient’s complains increased before admission and were unbearable. Performed clinical and imaging examination revealed intramedullary tumour located in the terminal cone at the level of L2 vertebra. The patient underwent surgical treatment with total tumour removal. Histological examination confirmed epidermoid cyst. Intramedullary location of epidermoid cyst is very rare and constitutes of about 0.7% of all spinal tumours. Due to compression on nervous structures surgical treatment of epidermoid cyst is a method of choice. Authors discuss signs, clinical history, treatment and its results as well as histological findings.

Keywords
intramedullary, intraspinal, spinal cord, tumour, cyst, atypical spinal pain

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