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Journal of Neurosurgical Sciences 2002 December;46(3-4):122-6

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

Intramedullary epidermoid cyst: preoperative diagnosis and surgical management after MRI introduction. Case report and updating of the literature

Amato V. G., Assietti R., Arienta C.

Division of Neurosurgery, “Fatebenefratelli” Hospital, Milan, Italy


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Many ­patients ­with spi­nal ­tumours of devel­op­men­tal ori­gin do not ­receive pre­op­er­a­tive diag­no­sis and the sur­gi­cal man­age­ment, espe­cial­ly as for cap­sule resec­tion, is ­often ­unplanned. Like oth­er uncom­mon ­tumours, the intra­me­dul­lary epi­der­moid ­cyst is ­often an oper­a­tive or his­to­log­i­cal find­ing. Since mag­net­ic res­o­nance imag­ing (MRI) intro­duc­tion, evi­dence has accu­mu­lat­ed ­that ­they may be pre­op­er­a­tive­ly sus­pect­ed. In report­ing the ­case of a ­young ­patient ­with a T3-T4 intra­me­dul­lary epi­der­moid ­cyst, the ­authors ­present an over­view of the clin­i­cal, radio­log­i­cal and sur­gi­cal ­aspects of ­such ­tumors and ­review the lat­est lit­er­a­ture in ­which MRI and micro­sur­gi­cal exci­sion ­were per­formed. Despite the intro­duc­tion of new diag­nos­tic and sur­gi­cal instru­men­ta­tion, the pre­op­er­a­tive diag­no­sis and sur­gi­cal man­age­ment of ­such ­tumours ­need fur­ther dis­cus­sion.

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