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Case Reports
. 2011 Dec 13:2011:bcr1120115090.
doi: 10.1136/bcr.11.2011.5090.

Recurrent intramedullary epidermoid cyst of conus medullaris

Christina Fleming  1 , Chandrasekaran Kaliaperumal, Michael O'Sullivan
Affiliations
Case Reports

Recurrent intramedullary epidermoid cyst of conus medullaris

Christina Fleming et al. BMJ Case Rep. .

Abstract

Spinal intramedullary epidermoid cyst is a rare condition. Recurrent epidermoid cyst in the spine cord is known to occur. The authors describe a case of recurrent conus medullaris epidermoid cyst in a 24-year-old female. She initially presented at 7 years of age with bladder disturbance in the form of diurnal enuresis and recurrent urinary tract infection. MRI lumbar spine revealed a 4 cm conus medullaris epidermoid cyst. Since the initial presentation, the cyst had recurred seven times in the same location and she underwent surgical intervention in the form of exploration and debulking. This benign condition, owing to its anatomical location, has posed a surgical and overall management challenge. This occurrence is better managed in a tertiary-care centre requiring multi-disciplinary treatment approach.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Sagittal MRI T1 weighted imaging of the lumbar spine demonstrating the isointense signal to cerebrospinal fluid.
Figure 2
Figure 2
Axial T1 weighted MRI demonstrating the lesion.
Figure 3
Figure 3
Sagittal T2 weighted MRI demonstrating high signal in the conus medullaris and previous laminectomy defect and scar tissue.
Figure 4
Figure 4
Axial T2 weighted MRI demonstrating the cyst occupying the whole of conus medullaris/spinal canal.
See this image and copyright information in PMC

References

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