Dermoid Cysts of Conus Medullaris

Background and Aim: Conus medullaris dermoid cysts are benign lesions, usually observed in the lumbosacral region of the spinal canal. Such lesions are often associated with congenital dermal sinus tracts and spinal dysraphism.  Case Presentation: We reported a 37-year-old man with progressive paral...

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Bibliographic Details
Main Authors: Shervin Ghadarjani, Babak Alijani, Amin Naseri, Arman Hamzei
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2018-10-01
Series:Iranian Journal of Neurosurgery
Subjects:
Online Access:http://irjns.org/article-1-134-en.html
Description
Summary:Background and Aim: Conus medullaris dermoid cysts are benign lesions, usually observed in the lumbosacral region of the spinal canal. Such lesions are often associated with congenital dermal sinus tracts and spinal dysraphism.  Case Presentation: We reported a 37-year-old man with progressive paralysis distal part of the left lower limb presented to our clinic. The MRI of the lumbar spine, as a modality of choice, has revealed a well-defined sausage-shaped lesion, a multilobular cyst, and the heterogeneous contrast enhancement of an intra- and extra-medullary lesion in the conus medullaris region.  Conclusion: Subtotal microsurgical resection was performed on the lesion. The result of histopathological examination confirmed the dermoid cyst, as well. After conducting the subtotal resection, an appropriate clinical result was achieved in the patient.
ISSN:2423-6497
2423-6497