Dermoid cyst of the Filum Terminal, with paralysis of both external Popliteo sciatic nerves. Case report

Authors

Keywords:

dermoid cyst, filum terminal

Abstract

Introduction: dermoid cysts (DC) are benign lesions that originate from ectodermal tissue that remains in the thickness of tissues during embryonic development of multipotential cells or perhaps epithelial implantation. DC appears in many regions of the body and is presented as a soft, painless and scrollable mass. Most are small, but some have exceeded 12cm. It often distend the mucosa in such a way that some of the contents may be visible. Dermoid cysts can be seen between 15 and 35 years of age. Case report: a clinical case of a dermoid cyst located in the Filum Terminal is presented, which presents as a bilateral paralysis of both external Popliteal Sciatic nerves and a dorsal sensory level D12, a Nuclear Magnetic Resonance of the Dorso-Lumbar spine is performed and the presence of an intradural extramedullary tumor, which is surgically intervened. Conclusions: it is concluded histologically as a Dermoid Cyst.

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Author Biographies

Marcos Luis García, Hospital Clínico Quirúrgico Universitario Arnaldo Milián Castro

Especialista en I y II Grado en Neurología. Profesor Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Johamel Ramón Ramos Valdés, Hospital Clínico Quirúrgico Universitario Arnaldo Milián Castro

Especialista en I y II Grado en Anatomía Patológica. Profesor Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Marbelys Guevara Rodríguez, Hospital Clínico Quirúrgico Universitario Arnaldo Milián Castro

Especialista en I Grado en Neurología. Profesora Instructora en la Universidad de Ciencias Médicas de Villa Clara.

Mercedes Bordón Hernández, Hospital Clínico Quirúrgico Universitario Arnaldo Milián Castro

Especialista en I Grado en Neurología

References

1. Sinelnikov RD. Estudio de los huesos, articulaciones y músculos. En: Atlas de Anatomía Humana. URSS: Editorial MIR; 1984. p. 34-39.

2. Testut L, Latarjet A. Médula espinal. En: Tratado de Anatomía Humana. España: Salvat Editores; 1960. p. 618-19.

3. Wu J, Ranjan S. Neoplastic Mielopathies. Continuum [Internet]. 2018 April [citado 5 Nov 2018];24(2 Spinal Cord Disorders):476–496. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29613896. doi:10.1212/CON.0000000000000585

4. Ciftdemir M, Kaya M, Selcuk E, Yalniz E. Tumors of the spine. World J Orthop [Internet]. 2016 Feb [citado 5 Nov 2018];7(2):109–116. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757655/. doi:10.5312/wjo.v7.i2.109

5. Dorfer C, Tonn J, Rutka JT. Ependymoma: a heterogeneous tumor of uncertain origin and limited therapeutic options. Handb Clin Neurol [Internet]. 2016 [citado 5 Nov 2018];134:417–431. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26948369. doi:10.1016/B978-0-12-802997-8.00025-6

6. Koeller KK, Rosenblum RS, Morrison AL. Neoplasms of the spinal cord and filum terminale: radiologic-pathologic correlation. Radiographics [Internet]. 2000 Nov-Dec [citado 5 Nov 2018];20(6):1721–1749. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11112826. doi:10.1148/radiographics.20.6.g00nv151721

7. Gu R, Liu JB, Zhang Q, Liu GY, Zhu QS. MRI diagnosis of intradural extramedullary tumors. J Cancer Res Ther [Internet]. 2014 Oct-Dec [citado 5 Nov 2018];10(4):927–931. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25579530. doi:10.4103/0973-1482.137993

8. Dehcordi SR, Ricci A, Chiominto A, De Paulis D, Di Vitantonio H, Galzio RJ. Dorsal extradural meningioma: case report and literature review. Surg Neurol Int [Internet]. 2016 [citado 5 Nov 2018];7:76. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009579/. doi:10.4103/2152-7806.188914

9. Quraishi NA, Arealis G, Salem KM, Purushothamdas S, Edwards KL, Boszczyk BM. The surgical management of metastatic spinal tumors based on an Epidural Spinal Cord Compression (ESCC) scale. Spine J [Internet]. 2015 Aug [citado 5 Nov 2018];15(8):1738–1743. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25817737. doi:10.1016/j.spinee.2015.03.040

10. Goodman BP. Disorders of the cauda equina. Continuum (Minneap Minn) [Internet]. 2018 Apr [citado 5 Nov 2018];24(2, Spinal Cord Disorders):584–602. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29613901. doi:10.1212/CON.0000000000000584

11. Tarulli AW. Disorders of the cauda equina. Continuum (Minneap Minn) [Internet]. 2015 Feb [citado 5 Nov 2018];21(1, Spinal Cord Disorders):146–158. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25651223. doi:10.1212/01.CON.0000461090.09736.45

12. Kramer CL. Vascular disorders of the spinal cord. Continuum (Minneap Minn) [Internet]. 2018 Apr [citado 5 Nov 2018];24(2, Spinal Cord Disorders):407–426. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29613893. doi:10.1212/CON.0000000000000595

Published

2020-01-21

How to Cite

1.
Luis García M, Ramos Valdés JR, Guevara Rodríguez M, Bordón Hernández M. Dermoid cyst of the Filum Terminal, with paralysis of both external Popliteo sciatic nerves. Case report. Acta Méd Centro [Internet]. 2020 Jan. 21 [cited 2025 Jul. 1];14(2):231-6. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1104

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Section

Case Reports