İrfan KOCA, Ercan MADENCİ, Özlem ALTINDAĞ, Ekrem KARAKAŞ, Ali GÜR, Bahattin ÇELİK

Epidermoid cyst and lipoma with tethered spinal cord: A case report

Tethered kord sendromu (TKS) konjenital ya da edinsel nedenlerle omuriliğin gerilmesi sonucu oluşur. Manyetik Rezonans Görüntüleme (MRG)nin spinal bölge rahatsızlıklarının tanısında kullanılmaya başlanması ile birlikte TKSnin farklı patolojilerle birlikte görülebileceği fark edilmiştir. Bu yazıda literatürden farklı olarak TKSnin, intradural epidermoid kist ve lipom ile birlikte ortaya çıktığı 17 yaşında bir kadın hasta anlatıldı ve tartışıldı.

Epidermoid kist, lipom ve tethered kord birlikteliği: Olgu sunumu

Tethered cord syndrome (TCS) is a stretch-induced disorder of the spinal cord caused by congenital or acquired conditions. Due to improvement of imaging technique, it is currently realize that TCS may be seen with different pathology. Differing from relevant literature, concomitant presence of TCS, epidermiod cyst and lipoma in a 17 year old female patient is presented and discussed in the present paper.

PDF

___

1. Haro H, Komori H, Okawa A, Kawabata S, Shinomiya K. Longterm outcomes of surgical treatment for tethered cord syndrome. J Spinal Disord Tech 2004;17(8):16-20.
2. Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts clinical evaluation and late surgical results. J Neurosurg 1997;47(3):12-8.
3. Koyanagi I, Hida K, Iwasaki Y, et al. Radiological findings and clinical course of conus lipoma: Implications for surgical treatment. Neurosurgery 2008;63(2):546-51.
4. Duz B, Gocmen S, Secer HI, Basal S, Gonul E. Tethered cord syndrome in adulthood. J Spinal Cord Med 2008;31(3):272-8.
5. Naidich TP, Blaser SI, Delman BN, et al. Congenital Anomalies of the Spine and Spinal Cord: Embryology and Malformations. In: Atlas SW, editör. Magnetic Resonance Imaging of the Brain and Spine. Philadelphia, PA: Lippincott Williams and Wilkins, 2002:1527-37.
6. Wilson JT, Shapiro RH, Wald SL. Multiple intradural spinal lipomata with intracranial extension. Pediatr Neurosurg 1996;24(3):5-7.
7. Fujiwara F, Tamaki N, Nagashima T, Nakamura M. Intradural spinal lipomas not associated with spinal dystraphism: A report of four cases. Neurosurgery 1995;37(5):1212-5.
8. Giuffre R. Intradural spinal lipomas: Review of the literature (99 cases) and report of additional case. Acta Neurochir (Wien) 1966;14(2):69-95.
9. Tein RD. Fat suppression MR imaging in neuroradiology: Tecniques and clinical application. Am J Roentgenol 1992;158(4):369-79.
10. Roux A, Merder E, Larbrisseau A, Oube LJ. Intramedullary epidermoid cysts of the spinal cord. J Neurosurg 1992;76(4):528-33.
11. Lunardi P, Missori P, Gagliardi FM. Fortuna A: Long-term results of the surgical treatment of spinal dermoid and epidermoid tumors. Neurosurgery 1989;25(1):860-4.
12. Lai SW, Chan WP, Hen CY. MRI of epidermoid cyst of the conus medullaris. Spinal Cord 2005;43(3):320-3.
13. Visdani A, Savoiardo M, Balestrini MR, Solero L. Iatrogenic intraspinal epidermoid tumor: Myelo-CT and MRI diagnosis. Neuroradiology 1989;31(2):273-5.
14. Hays RM, Massagli TL. Rehabilitation concepts in myelomeningocele. In: Braddom RL, editor. Physical Medicine and rehabilitation. 2th ed. Philadelphia,W. B. Saunders Company, 2000:1217-8.
15. Gupta SK, Khosla VK, Sharma BS, Mathuriya SN, Pathak A, Tewari MK. Tethered cord syndrome in adults. Surg Neurol 1999;52(4):362-9.
16. Pang D, Wilberger JE . Tethered cord syndrome in adults. J Neurosurg 1982;57(6):32-47.