title: Thoracic intramedullary epidermoid with paraplegia for 12 years.
abstract: A man presented with progressive motor and sensory loss in both lower limbs for 12 years with fecal and urinary incontinence MRI of dorsal spine showed an intramedullary mass in the dorsal cord at D5-D6 level which had a pearly white appearance on exploration. Complete excision was performed leading to good recovery in sensation, movements and sphincter control. Epidermoids should be considered in differential diagnosis of intramedullary tumours. Their removal leads to complete recovery.
authors.affiliation: Department of Neurosurgery, Peoples Medical College, Nawabshah. shamsbrohi@yahoo.com
authors.forename: Shams Raza
authors.initials: SR
authors.lastname: Brohi
authors.forename: Salman Manzoor
authors.initials: SM
authors.lastname: Qureshi
authors.forename: Shahida Saeed
authors.initials: SS
authors.lastname: Rajput
authors.forename: Naeem Karim
authors.initials: NK
authors.lastname: Bhatti
mesh_terms: D000328:Adult; D004814:Epidermal Cyst / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009128:Muscle Spasticity; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013118:Spinal Cord Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013904:Thoracic Vertebrae; D013997:Time Factors