Concurrent Thoracic Spinal Intradural Extramedullary Epidermoid and Neurenteric Cyst in a Spinal Dysraphism Child

Pediatr Neurosurg. 2021;56(3):261-267. doi: 10.1159/000511091. Epub 2021 Mar 30.

Abstract

Introduction: Intraspinal epidermoid cysts are congenital or acquired in origin; whereas intraspinal neurenteric cysts (NECs) are of congenital origin. Their individual association with spinal dysraphism and vertebral segmentation anomalies is very well known.

Case presentation: We hereby report a case of concurrent intradural extramedullary epidermoid and NEC at adjacent vertebral levels in a spinal dysraphism child, not reported in English Literature till now.

Conclusion: Multiple spinal lesions related to any/all of the 3 germ layers can coexist at same or adjacent vertebral levels in the same patient and surgical planning shown to be done accordingly.

Keywords: Congenital dorsal spine malformations; Epidermoid cyst; Myelomeningocele; Neurenteric cyst; Spinal dysraphism.

Publication types

  • Case Reports

MeSH terms

  • Central Nervous System Cysts*
  • Child
  • Hernia, Diaphragmatic*
  • Humans
  • Magnetic Resonance Imaging
  • Neural Tube Defects* / diagnostic imaging
  • Neural Tube Defects* / surgery
  • Spinal Dysraphism* / complications
  • Spinal Dysraphism* / diagnostic imaging
  • Spinal Dysraphism* / surgery
  • Spine