A Pediatric Case of Cauda Equina Dermoid Cyst Resected by Minimally Invasive Unilateral Hemilaminectomy.


Journal

Acta medica Okayama
ISSN: 0386-300X
Titre abrégé: Acta Med Okayama
Pays: Japan
ID NLM: 0417611

Informations de publication

Date de publication:
Apr 2022
Historique:
entrez: 3 5 2022
pubmed: 4 5 2022
medline: 6 5 2022
Statut: ppublish

Résumé

A 3-year-old boy had difficulty sitting up and walking for several months. Magnetic resonance imaging (MRI) revealed an intradural tumor at the L3-4 level. The tumor was successfully resected by unilateral hemilaminectomy and diagnosed as dermoid cyst. The patient had an uneventful postoperative course without pain, and MRI found no recurrence after surgery. A small bone defect remained that might be favorably reconstructed with autologous and artificial bone. Hemilaminectomy allowed us to resect the cauda equina dermoid cyst with minimal invasiveness. Pediatric patients require follow-up as they are more likely to experience spinal deformity or instability after surgery.

Identifiants

pubmed: 35503450
doi: 10.18926/AMO/63426
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

217-223

Déclaration de conflit d'intérêts

No potential conflict of interest relevant to this article was reported.

Références

Cervoni L, Celli P, Cantore G and Fortuna A: Intradural tumors of the cauda: a single insitution review of clinical characteristics. Clin Neurol Neurosurg (1995) 97: 8-12.
Choi GH, Oh JK, Kim TY, You NK, Lee HS, Yoon DH, Ha Y, Yi S, Kim DS, Choi JU and Kim KN: The clinical features and surgical outcomes of pediatric patients with primary spinal cord tumor. Childs Nerv Syst (2012) 28: 897-904.
Quinn T Ostrom, Peter M de Blank, Carol Kruchko, Claire M Petersen, Peter Liao, Jonathan L Finlay, Duncan S Stearns, Johannes E Wolff, Yingli Wolinsky, John J Letterio and Jill S Barnholtz-Sloan: Alexʼs Lemonade Stand Foundation Infant and Childhood Primary Brain and Central Nervous System Tumors Diagnosed in the United States in 2007-2011. Neuro Oncol (2015) 16 Suppl 10: 1-36.
Nakatsu T, Uwabe C and Shiota K: Neural tube closure in humans initiates at multiple sites: evidence from human embryos and implications for he pathogenesis of neural tube defects. Anat Embryol (Berl) (2000) 201: 455-466.
Falavigna A, Righesso O and Teles RA: Concomitant dermoid cysts of conus medullaris and cauda equina. Arq Neuropsiquiatr (2009) 67: 293-296.
Aoun SG, Liu MA, Still M, El Ahmadieh TY, Tamimi MA and Gluf W: Dermoid cysts of the conus medullaris: Clinical review, case series and management strategies. J Clin Neurosci (2018) 50: 247-251.
Raja K, Sunilkumar BS, Jyothish LS, Prasanth A, Rajmohan BP and Anilkumar P: Hemilaminectomy for Spinal Cord Intradural Tumors: An Institutional Experience. Asian J Neurosurg (2018) 13: 760-765.
Goodarzi A, Clouse J, Capizzano T, Kim KD and Panchal R: The Optimal Surgical Approach to Intradural Spinal Tumors: Laminectomy or Hemilaminectomy? Cureus (2020) 12: e7084.
Loris C and Hans-Dietrich H: Surgical Management of Intramedullary Spinal Cord Tumors: Functional Outcome and Sources of Morbidity. Neurosurgery (1994) 35: 69-76.
Jonge T, Slullitel H, Dubousset J, Miladi L, Wicart P and Illes T: Late-onset spinal deformities in children treated by laminectomy and radiation therapy for malignant tumours. Eur Spine J (2005) 14: 765-771.
McGirt MJ, Chaichana KL, Atiba A, Bydon A, Witham TF, Yao KC and Jallo GI: Incidence of spinal deformity after resection of intramedullary spinal cord tumors in children who underwent laminectomy compared with laminoplasty. J Neurosurg Pediatr (2008) 1: 57-62.
Chiou SM, Eggert HR, Laborde G and Seeger W: Microsurgical unilateral approach for spinal tumour surgery: eight yearʼs experience in 256 primary operated patients. Acta Neurochir (Wien) (1989) 100: 127-133.
Keller T and Holland MC: Some notable american spine surgeons of the 19th century. Spine (1997) 22: 1413-1417.
Fountas KN, Kapsalaki EZ and Robinson JS: Cervical epidural hematoma in children: a rare clinical entity. Case report and review of the literature. Neurosurg Focus (2006) 20: e6.
Benifla M, Melamed I, Barrelly R, Aloushin A and Shelef I: Unilateral partial hemilaminectomy for disc removal in a 1-year-old child. J Neurosurg Pediatr (2008) 2: 133-135.
Panagopoulos D, Apostolopoulou K and Themistocleous M: Severe Neuromuscular Scoliosis Implicated by Dysfunction of Intrathecal Baclofen Pump: Case Report and Review of the Literature. World Neurosurg (2020) 134: 390-395.
Marhx Bracho A, Munoz Montoya JE, Pena Rosas NP, Carrillo Marhx G and Ramirez Ferrer E: Costotransversectomy plus hemilaminectomy as alternative surgical approach for extramedullary intradural thoracic schwannoma resection with and without extradural extension in pediatric population three cases and literature review. J Spine Surg (2019) 5: 285-290.
Ozkan N, Jabbarli R, Wrede KH, Sariaslan Z, Stein KP, Dammann P, Ringelstein A, Sure U and Sandalcioglu EI: Surgical management of intradural spinal cord tumors in children and young adults: A single-center experience with 50 patients. Surg Neurol Int (2015) 6: 661-667.
Schellinger KA, Propp JM, Villano JL and McCarthy BJ: Descriptive epidemiology of primary spinal cord tumors. J Neurooncol (2008) 87: 173-179.
Caldarelli M, Massimi L, Kondageski C and Rocco CD: Intracranial midline dermoid and epidermoid cysts in children. J Neurosurg (2004) 100: 473-480.
Wilson PE, Oleszek JL and Clayton GH: Pediatric spinal cord tumors and masses. J Spinal Cord Med (2007) 30: 15-20.
Graham DV, Tampieri D and Villemure JG: Intramedullary dermoid tumor diagnosed with the assistance of magnetic resonance imaging. Case Reports (1988) 23: 765-767.
De Maio PN, Mikulis DJ, Kiehl TR and Guha A: AIRP best cases in radiologic-pathologic correlation: Sinal conus dermoid cyst with lipid dissemination. Radiographics (2012) 32: 1215-1221.
Atley H, Kitis O, Calli C and Yunten N: A spinal dermoid tumor that ruptured into the subarachnoidal space and syrinx cavity. Diagn Interv Radiol (2006) 12: 171-173.
Girishan S and Rajshekhar V: Rapid-onset paraparesis and quadriparesis in patients with intramedullary spinal dermoid cysts: report of 10 cases. J Neurosurg Pediatr (2016) 17: 86-93.
Kumar S, Maheshwari V, Kumar A and Dhurvey D: Spectrum of Complications in a Case of Intramedullary Dermoid. World Neurosurg (2020) 136: 37-43.
Suocheng G and Yazhou X: A review on five cases of intramedullary dermoid cyst. Childs Nerv Syst (2014) 30: 659-664.
Misra SN and Worgan HW: Avoidance of structural pitfalls in spinal meningioma resection. Neurosurgical Focus (2003) 14: e1.
Safavi-Abbasi S, Senoglu M, Theodore N, Workman RK, Gharabaghi A, Feiz-Erfan I, Spetzler RF and Sonntag VKH: Microsurgical management of spinal schwannomas: evaluation of 128 cases. J Neurosurg Spine. (2008) 9: 40-47.
Yeo DK, Im SB, Park KW, Shin DS, Kim BT and Shin WH: Profiles of Spinal Cord Tumors Removed through a Unilateral Hemilaminectomy. J Korean Neurosurg Soc (2011) 50: 195-200.
Lee JH, Jang JW, Kim SH, Moon HS, Lee JK and Kim SH: Surgical resuots after unilateral laminectomy for the removal of spinal cord tumors. Korean J Spine (2012) 9: 232-238.
Tola S, De Angelis M, Bistazzoni S, Chiaramonte C, Esposito V and Paolini S: Hemilaminectomy for spinal meningioma: A case series of 20 patients with a focus on ventral- and ventrolateral lesions. Clin Neurol Neurosurg (2016) 148: 35-41.
McGirt MJ, Garces-Ambrossi GL, Parker SL, Sciubba DM, Bydon A, Wolinksy JP, Gokaslan ZL, Jallo G and Witham TF: Short-term progressive spinal deformity following laminoplasty versus laminectomy for resection of intradural spinal tumors: analysis of 238 patients. Neurosurgery (2010) 66: 1005-1012.
Yasuoka S, Peterson HA, Laws ER Jr and MacCarty CS: Pathogenesis and prophylaxis of postlaminectomy deformity of the spine after multiple level laminectomy: difference between children and adults. Neurosurgery (1981) 9: 145-152.
Shi W, Wang S, Zhang H, Wang G, Guo Y, Sun Z, Wu Y, Zhang P, Jing L, Zhao B, Xing J, Wang J and Wang G: Risk factor analysis of progressive spinal deformity after resection of intramedullary spinal cord tumors in patients who underwent laminoplasty: a report of 105 consecutive cases. J Neurosurg Spine (2019) 8: 1-9.
Sotome S, Ae K, Okawa A, Ishizuki M, Morioka H, Matsumoto S, Nakamura T, Abe S, Beppu Y and Shinomiya K: Efficacy and safety of porous hydroxyapatite/type 1 collagen composite implantation for bone regeneration: A randomized controlled study. J Orthop Sci (2016) 2: 373-380.
Kawasaki Y, Sotome S, Yoshii T, Ichiro Torigoe, Maehara H, Sugata Y, Hirano M, Mochizuki N, Shinomiya K and Okawa A: Effects of Gamma-Ray Irradiation on Mechanical Properties, Osteoconductivity, and Absorption of Porous Hydroxyapatite/ Collagen. J Biomed Matr Res B Appl Biomater (2010) 92: 161- 167.
Murata K, Fujibayashi S, Otsuka B, Shimizu T and Matsuda S: Repair of Iliac Crest Defects with a Hydroxyapatite/Collagen Composite. Asian Spine J (2020) 14: 808-813.

Auteurs

Satoru Yabuno (S)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Susumu Sasada (S)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Michiari Umakoshi (M)

Department of Neurosurgery, Kagawa Rosai Hospital.

Takayuki Nagase (T)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Chiaki Sugahara (C)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Satoshi Kawauchi (S)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Takao Yasuhara (T)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

Isao Date (I)

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.

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