1/62. dermoid cyst with dermal sinus tract complicated with spinal subdural abscess.Spinal subdural abscess caused by spread of infection with the dermal sinus tract is rare in children. This article reports on a 1-year-old male with prolonged fever, progressive paraplegia, and bowel and bladder dysfunction resulting from a spinal subdural abscess secondary to an infected spinal dermoid cyst with a dermal sinus tract. This is the youngest patient to be reported having this condition. Surgical intervention was performed to find a tumor that had capsule and keratinlike contents. culture of the abscess was positive for escherichia coli and bacteroides vulgatus. He received 6 weeks of parenteral antibiotic treatment. This patient illustrates the importance of urgent radiologic examination, immediate surgical resection, and appropriate antibiotic therapy for spinal subdural abscess.- - - - - - - - - - ranking = 1keywords = spinal (Clic here for more details about this article) |
2/62. Spinal epidural abscess in preverbal children: A case report with Currarino triad.Spinal epidural abscess is rare in preverbal children and leads to permanent neurologic deficits if not treated promptly. Currarino triad (anorectal malformation, sacral bony abnormality and presacral mass) is also rare in children. We report the association of extensive spinal epidural abscess and Currarino triad in a young child.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
3/62. Ruptured intracranial dermoid cyst.Intradural dermoids are rare congenital tumors representing approximately 0.05% of all intracranial lesions. These benign tumors have a typical appearance on CT and MR due to their lipid components. The complication caused by rupture are the spillage of the fatty material into the cerebrospinal fluid. We report a case of a ruptured dermoid cyst showing fat/fluid levels in both side ventricles and fatty material in the subarachnoid space on CT and MR-imaging and the follow-up over four years after incomplete resection of the tumor.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
4/62. Subarachnoid fat dissemination after resection of a cerebellopontine angle dysontogenic cyst: case report and review of the literature.OBJECTIVE AND IMPORTANCE: This case report illustrates the clinical and radiological relevance of extensive intracranial subarachnoid and ventricular dissemination in dysontogenic (dermoid) tumors. CLINICAL PRESENTATION: We describe a patient with a cerebellopontine angle dysontogenic tumor. Postoperatively, the cyst disseminated fat particles extensively into the subarachnoid space. magnetic resonance imaging (MRI) studies revealed continuous dispersion of the fat particles into the cerebral cisterns, subarachnoid space, and ventricles. INTERVENTION: Eight years of clinical and MRI follow-up demonstrated neither neurological deterioration in the patient nor growth of the multiple lesions. CONCLUSION: Intracranial subarachnoid dissemination of fat material may occur during the preoperative or postoperative course of dermoid and epidermoid cysts. Aseptic meningitis or other complications such as hydrocephalus, seizures, or cranial nerve deficits also may occur owing to spillage of intracranial cyst contents into the subarachnoid space. MRI can detect the presence of fat drops that may adhere to the surrounding structures or migrate with the cerebrospinal fluid flow. Intracranial disseminated fat particles can remain silent without radiological or neurological change, justifying a wait-and-see approach. During long-term postoperative follow-up, however, regular MRI studies and clinical examinations are necessary to avoid potential complications.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
5/62. rupture of spinal dermoid tumors with spread of fatty droplets in the cerebrospinal fluid pathways.Cranial and spinal MRI was carried out at 0.5 or 1.5 T in five patients with spinal dermoid tumours. Free fatty material was appreciated within the normally communicating cerebrospinal fluid pathways in all five cases and in one case fat droplets were also observed within a dilated central canal of the spinal cord. While dissemination of lipid within the subarachnoid space and ventricles is easily understandable, the presence of lipid droplets within the central canal is more difficult to explain, since the central canal is only potential in the adult. When a dermoid tumor is suspected, we recommend MRI of the entire central nervous system, to detect possible leakage of fat from rupture of a cystic portion of the tumour.- - - - - - - - - - ranking = 1.7843736636635keywords = spinal, canal (Clic here for more details about this article) |
6/62. Tetraventricular hydrocephalus due to ruptured intracranial dermoid cyst.We present the MR imaging findings in a patient who developed tetraventricular hydrocephalus after massive rupture of dermoid cysts with generalized subarachnoid and ventricular spread of cyst contents. The development of tetraventricular hydrocephalus due to ruptured dermoid is a very unusual complication, and was attributed to cyst contents interfering with passage of cerebrospinal fluid through the arachnoid granulations and fourth ventricular outlet foramina.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
7/62. klippel-feil syndrome in association with posterior fossa suboccipital dermoid cyst.We present the second case of klippel-feil syndrome in association with a posterior fossa dermoid cyst extending through the occipital bone and presenting as a suboccipital subcutaneous mass. We describe its radiographic, CT, and MRI appearances as well as on MRI diffusion-weighted images. Posterior cranial fossa dermoid cysts and sinuses should be added to the list of congenital abnormalities which must be sought in patients with klippel-feil syndrome. diffusion-weighted images of brain may differentiate these masses from cerebral spinal fluid collections.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
8/62. Intraspinal intramedullary epidermoid tumor.A case of an intraspinal intramedullary epidermoid tumor at the level of D 2-4 is reported on. The case history, diagnosis, causes, frequency, and age of onset of these tumors are briefly discussed.- - - - - - - - - - ranking = 0.71428571428571keywords = spinal (Clic here for more details about this article) |
9/62. A rare case of intramedullary lipoma associated with cyst.Intramedullary lipomas are benign tumours of the spinal cord corresponding to 1% of all primitive intramedullary tumours. We report a rare case of "true" intramedullary lipoma associated with cyst. The patient underwent subtotal resection and the diagnosis was made by histopathological examination. There was postoperative neurological improvement.- - - - - - - - - - ranking = 0.14285714285714keywords = spinal (Clic here for more details about this article) |
10/62. Posterior cranial fossa dermoid in association with craniovertebral and cervical spinal anomaly: report of two cases.Two patients, a 12-year-old girl and an 8-year-old boy, with congenital craniovertebral anomaly and klippel-feil syndrome also had a posterior cranial fossa dermoid. The association of these two discrete pathological lesions in the same individual is extremely rare. As both lesions are related to an embryological disorder, issues regarding the possible stage of dysgenesis are analyzed. The treatment options in such cases are discussed.- - - - - - - - - - ranking = 0.57142857142857keywords = spinal (Clic here for more details about this article) |
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