Volume : 3
Issue : 3
Online ISSN : 2581-916X
Print ISSN : 2581-8236
Article First Page : 79
Article End Page : 82
Introduction: Epidermoid cyst is the sequel of developmental aberration often intriguing the neurosurgeons. Intramedullary epidermoid cysts are rare entities with delay and variability in the clinical presentation. The aim of present study is to analyze clinical presentation and management issues of this entity of neurological pertinence.
Materials and Method: The study is retrospective analysis of cases operated for intramedullary epidermoid cysts of spinal cord at King Edward Memorial Hospital, Mumbai over a period of 16 years from 2001 to 2016. All relevant hospital records and follow-up were analyzed.
Results: The study revealed that this entity more commonly manifests in males of second and third decades. The age at the time of presentation ranged from 3 to 51 years (mean age-24.2 years). There were 15 male and 9 female patients. The average duration of complaints was 7 months. The backache and stiffness of both lower limbs were most common presentations followed by sphincter disturbances and dysaesthesia. Our follow up ranged from a period of 6 months to 15 years with a mean of 9.6 years. Patients had excellent clinical recovery with safe excision of cyst contents with recurrence in three patients.
Conclusions: Our study highlights that patients of intramedullary epidermoids have satisfactory outcome with safe resection of cyst content leaving behind the densely adherent capsule.
Keywords: Epidermoid cyst, Intramedullary lesions, Spinal cord, Inclusion cysts