Thoracic intramedullary epidermoid with paraplegia for 12 years.
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.
Brohi
Shams Raza
SR
Department of Neurosurgery, Peoples Medical College, Nawabshah. shamsbrohi@yahoo.com
Qureshi
Salman Manzoor
SM
Rajput
Shahida Saeed
SS
Bhatti
Naeem Karim
NK
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