DOI QR코드

DOI QR Code

A Rare Case of Thoracic Intradural Epidermoid Cyst after Spinal Cord Stimulator Insertion: A Case Report

척수 자극기 삽입술을 받았던 환자에게 드물게 생긴 흉추부 경막내 표피양 낭종: 증례 보고

  • Sun Ha Min (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Ji Hae Lee (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Jae Hyung Kim (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Myeong Ja Jeong (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Soung Hee Kim (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Ji-Young Kim (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Mi-jin Kang (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 민선하 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 이지혜 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 김재형 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 정명자 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 김성희 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 김지영 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 강미진 (인제대학교 의과대학 상계백병원 영상의학과)
  • Received : 2021.09.17
  • Accepted : 2021.10.29
  • Published : 2022.07.01

Abstract

Spinal epidermoid cysts are extremely rare benign tumors and can be congenital or acquired. Acquired spinal epidermoid cysts are found in the lumbosacral region. To our knowledge, no case of epidermoid cyst related to spinal cord stimulator insertion has yet been reported. We report the MRI findings of a rare case of thoracic intradural epidermoid cyst acquired after spinal cord stimulator insertion in a 50-year-old female.

표피양 낭종은 척수에 매우 드물게 발생하는 양성 병변이다. 선천적 또는 후천적으로 생길 수 있는데, 후천적 표피양 낭종은 주로 요천추부 높이에서 발생한다. 척수 자극기 삽입과 관련하여 표피양 낭종이 생긴 증례는 보고된 바 없다. 저자들은 척수 자극기 삽입술을 받았던 50세 여자 환자에서 표피양 낭종이 척수 자극기 끝의 위치와 인접한 흉추부 경막 내에 발생한 드문 증례를 경험하였기에 MRI 소견 및 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

  1. Gotecha S, Ranade D, Sharma S, Punia P, Kotecha M. Giant intradural intramedullary epidermoid cyst report of two cases with varied presentations. Asian J Neurosurg 2014;9:244
  2. Choremis C, Economos D, Papadatos C, Gargoulas A. Intraspinal epidermoid tumours (cholesteatomas) in patients treated for tuberculous meningitis. Lancet 1956;2:437-439
  3. Funao H, Isogai N, Daimon K, Mima Y, Sugiura H, Koyanagi T, et al. A rare case of intradural and extramedullary epidermoid cyst after repetitive epidural anesthesia: case report and review of the literature. World J Surg Oncol 2017;15:131
  4. Manno NJ, Uihlein A, Kernohan JW. Intraspinal epidermoids. J Neurosurg 1962;19:754-765
  5. Gibson T, Norris W. Skin fragments removed by injection needles. Lancet 1958;2:983-985
  6. Lee YS, Kim JO. Pericoccygeal epidermoid cyst: report of two cases. J Korean Soc Radiol 2011;65:519-523
  7. Steffey DJ, De Filipp GJ, Spera T, Gabrielsen TO. MR imaging of primary epidermoid tumors. J Comput Assist Tomogr 1988;12:438-440
  8. Lai SW, Chan WP, Chen CY, Chien JC, Chu JS, Chiu WT. MRI of epidermoid cyst of the conus medullaris. Spinal Cord 2005;43:320-323
  9. Horowitz BL, Chari MV, James R, Bryan RN. MR of intracranial epidermoid tumors: correlation of in vivo imaging with in vitro 13C spectroscopy. AJNR Am J Neuroradiol 1990;11:299-302
  10. Matsui H, Kanamori M, Yudoh K, Ohmori K, Yasuda T, Wakaki K. Cystic spinal cord tumors: magnetic resonance imaging correlated to histopathological findings. Neurosurg Rev 1998;21:147-151