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A Rare Case of Intramedullary Spinal Dermoid Cyst in Young Adult with No History of Trauma: A Case Report

Priyanka Soni, Kamal Preet Palta, Bibhash Roy

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Indian Journal of Emergency Medicine 11(2):p 87-91, April - June 2025. | DOI: https://doi.org/10.21088/ijem.2395.311X.11225.2

How Cite This Article:

Soni P, Palta KP, Roy B. A rare case of intramedullary spinal dermoid cyst in young adult with no history of trauma: a case report. Ind J Emerg Med. 2025;11(2):87-91.

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Received : October 08, 2024         Accepted : February 28, 2025          Published : June 05, 2025

Abstract

Introduction: Rare and benign, intramedullary spine dermoid swellings are primarily caused by the neural tube’s improper closure during development. They appear in the second and third periods of life and are slow-growing tumours. Only 1% of people have intramedullary dermoid cysts. Case report: We reported an 18-year-old female with backache which is mild to moderate intensity, gradually progressive and now increased to cause inability to lie down supine for 7 days. Patient also developed both lower limb weakness for 15 days which is gradually, progressive and now patient is bed bound for 5-6 days. Patient developed urinary retention 7 days back when she was catheterized at PVT Hospital. History of constipation present. No history of trauma / fever/ cough/loose motion. MRI Spine suggestive of contrast enhancing well defined intramedullary lesion at D12 level with cord expansion Patient underwent D12 laminectomy and symptoms improved postoperatively. Conclusion: It is uncommon for adults without a history of trauma to develop dermoid cysts. The therapeutic option is surgical excision. However, to keep an eye on the sensory-motor function, long-term monitoring is required. Key Message: • Intramedullary spinal dermoid cyst is a distinctive and unusual. • A fast and correct diagnosis is required to obtain favorable results. • The motor and sensory functions before and after surgery are bettered.


References

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  • 2.   https://www.sciencedirect.com/science/ article/pii/S2210261224001123 intradural intramedullary epidermoid cyst in a 17-year-old male: An exceptionally rare case report and review of the literature Author links open overlay panel Babak Alijaniac, Sahand Karimzadhaghb, Elahe Abbaspourb, Zoheir Reihanianac, Mohammad Haghani Dogahec, Nooshin Zareshari d (2024).
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This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Acknowledgements

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Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Soni P, Palta KP, Roy B. A rare case of intramedullary spinal dermoid cyst in young adult with no history of trauma: a case report. Ind J Emerg Med. 2025;11(2):87-91.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
October 08, 2024 February 28, 2025 June 05, 2025

DOI: https://doi.org/10.21088/ijem.2395.311X.11225.2

Keywords

Dermoid cystBackacheUrinary retentionD12 laminectomySurgical excisionNeural tube

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Received October 08, 2024
Accepted February 28, 2025
Published June 05, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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