[Intramedullary D12-L1 epidermoid tumor. Report of a case and review of the literature].
The authors report, after a follow-up period of two years, a case of intramedullary congenital epidermoid cyst treated surgically. The patient, a 21 year-old man, presented with a seven year history of motor disturbances of his left lower limb and more recent urinary incontinence. The diagnosis of an intramedullary tumor was provided by a myelogram and a post-myelogram CT. In the absence of a dermal sinus or vertebral dysraphic anomalies, the epidermoid nature of the mass was an operative and histological finding. The main data from the literature are commented: frequency, topography, clinical diagnosis, and radiologic or M.R.I. imaging. Intracapsular removal of the mass seems to result, as in the presently reported case, in a satisfactory outcome.
Vallée
B
B
Service de Neurochirurgie, CHU de Sousse, Tunisie.
Krifa
H
H
Korbi
S
S
Ben Hamouda
M
M
Essadia
K M
KM
D000328:Adult; D003937:Diagnosis, Differential; D004814:Epidermal Cyst / Q000151:congenital* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008297:Male; D008866:Microsurgery; D009192:Myelography; D013120:Spinal Cord Neoplasms / Q000151:congenital* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed