Document Detail

Dorsal intramedullary dermoids.
MedLine Citation:
PMID:  15739068     Owner:  NLM     Status:  MEDLINE    
We report a case of a 31-year-old woman with an intramedullary thoracic dermoid, who had progressive spastic paraparesis in her lower extremities over a period of three years, as well as loss of bowel and bladder control. She had been operated for "spina bifida" at three days of age but had no neurologic deficit. MRI of the thoracic spine showed an intramedullary hypointense lesion at T7-T8, associated with an intramedullary lipoma at a higher level. Intracapsular resection of an intramedullary dermoid cyst was performed. We review the literature on intramedullary dermoids differentiating them from the more common, but still rare, lumbosacral subdural juxtamedullary dermoids. We discuss the associated malformations with these lesions, as well as their pathophysiology and treatment. Although uncommon, dorsal intramedullary dermoids should be suspected and treated in a timely manner, especially in presence of other congenital anomalies.
Marwan W Najjar; John A Kusske; Anton N Hasso
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-03-01
Journal Detail:
Title:  Neurosurgical review     Volume:  28     ISSN:  0344-5607     ISO Abbreviation:  Neurosurg Rev     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-15     Completed Date:  2005-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908181     Medline TA:  Neurosurg Rev     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  320-5     Citation Subset:  IM    
Dr. Erfan and Bagedo Hospitals, King Fahad St. (Al Sitteen), P.O. Box 6519, Jeddah, 21452, Saudi Arabia.
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MeSH Terms
Dermoid Cyst / complications,  pathology,  surgery*
Lipoma / pathology
Magnetic Resonance Imaging
Neurosurgical Procedures*
Paraparesis, Spastic / etiology
Spinal Diseases / congenital
Spinal Neoplasms / complications,  pathology,  surgery*
Spine / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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