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KMID : 0388720160230020121
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Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 2 p.121 ~ p.126
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Extensive Intradural Epidermoid Cysts with Cauda Equina Syndrome in the Lumbosacral Spine: Case Report
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Ahn Tae-Keun
Shin Dong-Eun
Kwon Young-Woo
Lee Sang-June
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Abstract
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Study Design: A case report.
Objectives: To report a rare case of extensive epidermoid cysts in the lumbosacral spine.
Summary of Literature Review: The intradural epidermoid cyst with extensive involvement is rare, and previous reports have reported only extensive intramedullary epidermoid cysts.
Materials and Methods: A 75-year-old male presented with progressive motor weakness of both extremities beginning 3 days prior. MRI showed extensive intradural extramedullary epidermoid cysts in the lumbosacral region. We performed total laminectomy from the L1 to the L5 level, and the cystic mass was removed.
Results: We confirmed the epidermoid cyst on histopathologic examination.
Conclusions: Extensive extramedullary epidermoid cysts are difficult to remove completely. Attempting complete removal may result in neurological deficit. Therefore, when surgical intervention is planned, the poor postoperative prognosis should be taken into consideration.
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KEYWORD
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Cauda equina syndrome, Intradural-extramedullary, Epidermoid cyst
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