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Neurospine > Accepted
DOI: https://doi.org/10.14245/ns.1836152.076    [Accepted]
Published online September 4, 2018.
Lumbar Intramedullary Epidermoid Following Repair of Sacral Myelomeningocele and Tethered Cord: A Case Report With a Review of the Relevant Literature and Operative Nuances
S. J. Balaparameswara Rao, Hitesh Bhaliya, J. K. B. C. Parthiban 
Department of Neurosurgery, Kovai Medical Center and Hospital, Coimbatore, India
Corresponding Author:  J. K. B. C. Parthiban
Tel: +919842223500   Fax: +91-4222627782   Email: juttyparthiban@gmail.com
Received: June 25, 2018   Revised: August 3, 2018   Accepted: August 7, 2018
Abstract
Epidermoid cysts of the spine are rare tumors. While majority of them occur spontaneously, very few occur following a previous surgery for spinal dysraphism. Such tumors tend to occur at the site of previous surgery. Occurrence of an epidermoid cyst at a level higher than the previous surgery is a rare entity. We present a rare case of lumbar intramedullary and extramedullary epidermoid occurring at a level higher than the initial surgery along with a discussion of the causes of such an occurrence and the operative nuances in the management of an intramedullary epidermoid in the pediatric age group.
Keywords: Epidermoid cyst; Intramedullary epidermoid; Spinal dysraphism


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