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Infected lumbar dermoid cyst presenting with tetraparesis secondary to holocord central lesion.
J Child Neurol. 2008 Aug; 23(8):934-7.JC

Abstract

We report an unusual case of a 6-year-old boy with a sinus tract terminating with an intramedullary dermoid cyst and holocord central lesion, presenting with tetraparesis secondary to intramedullary abscess. Total excision of dermal sinus tract, dermoid cyst, and the intramedullary abscess by means of a L2-S3 laminectomy, followed by antibiotic therapy resulted in good functional recovery. Strengths of the upper extremities have fully recovered, and a remarkable improvement was detected in the muscles of the lower extremities. Postoperative magnetic resonance imaging (MRI) of the spine showed complete removal of the dermoid cyst, decreased inflamed granulation tissue over the medullary conus, and disappearance of the holocord high intensity lesion. The pathomechanism of holocord central lesion is discussed herein.

Authors+Show Affiliations

Baskent University Faculty of Medicine, Department of Neurosurgery, Adana, Turkey. kadirtufan@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18660476

Citation

Tufan, Kadir, et al. "Infected Lumbar Dermoid Cyst Presenting With Tetraparesis Secondary to Holocord Central Lesion." Journal of Child Neurology, vol. 23, no. 8, 2008, pp. 934-7.
Tufan K, Cekinmez M, Sener L, et al. Infected lumbar dermoid cyst presenting with tetraparesis secondary to holocord central lesion. J Child Neurol. 2008;23(8):934-7.
Tufan, K., Cekinmez, M., Sener, L., & Erdogan, B. (2008). Infected lumbar dermoid cyst presenting with tetraparesis secondary to holocord central lesion. Journal of Child Neurology, 23(8), 934-7. https://doi.org/10.1177/0883073808314961
Tufan K, et al. Infected Lumbar Dermoid Cyst Presenting With Tetraparesis Secondary to Holocord Central Lesion. J Child Neurol. 2008;23(8):934-7. PubMed PMID: 18660476.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infected lumbar dermoid cyst presenting with tetraparesis secondary to holocord central lesion. AU - Tufan,Kadir, AU - Cekinmez,Melih, AU - Sener,Levent, AU - Erdogan,Bulent, PY - 2008/7/29/pubmed PY - 2008/10/18/medline PY - 2008/7/29/entrez SP - 934 EP - 7 JF - Journal of child neurology JO - J. Child Neurol. VL - 23 IS - 8 N2 - We report an unusual case of a 6-year-old boy with a sinus tract terminating with an intramedullary dermoid cyst and holocord central lesion, presenting with tetraparesis secondary to intramedullary abscess. Total excision of dermal sinus tract, dermoid cyst, and the intramedullary abscess by means of a L2-S3 laminectomy, followed by antibiotic therapy resulted in good functional recovery. Strengths of the upper extremities have fully recovered, and a remarkable improvement was detected in the muscles of the lower extremities. Postoperative magnetic resonance imaging (MRI) of the spine showed complete removal of the dermoid cyst, decreased inflamed granulation tissue over the medullary conus, and disappearance of the holocord high intensity lesion. The pathomechanism of holocord central lesion is discussed herein. SN - 1708-8283 UR - https://www.unboundmedicine.com/medline/citation/18660476/Infected_lumbar_dermoid_cyst_presenting_with_tetraparesis_secondary_to_holocord_central_lesion_ L2 - http://journals.sagepub.com/doi/full/10.1177/0883073808314961?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -