Cargando…
Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler
We report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare oc...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819794/ https://www.ncbi.nlm.nih.gov/pubmed/24251061 http://dx.doi.org/10.1155/2013/878713 |
_version_ | 1782290039358619648 |
---|---|
author | Fazio, Michael G. Kil, Alyson M. Rooks, Veronica J. Biega, Timothy J. |
author_facet | Fazio, Michael G. Kil, Alyson M. Rooks, Veronica J. Biega, Timothy J. |
author_sort | Fazio, Michael G. |
collection | PubMed |
description | We report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare occurrences and seldom present symptomatically in very young children. We present a case of a 32-month old with a draining dimpled skin lesion. Magnetic resonance images demonstrated an intramedullary epidermoid with a dorsal dermal sinus tract opening to the skin surface which was confirmed surgically. The patient was treated with debulking to prevent recurrent infection and progression of neurological symptoms. This case demonstrates the use of diffuse-weighted MRI to assist in the diagnosis and surgical management of an atypical presentation of a rare developmental abnormality, which is not well documented in the pediatric radiological literature. Failure to diagnosis may have significant neurological permanent debilitating consequences. |
format | Online Article Text |
id | pubmed-3819794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-38197942013-11-18 Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler Fazio, Michael G. Kil, Alyson M. Rooks, Veronica J. Biega, Timothy J. Case Rep Radiol Case Report We report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare occurrences and seldom present symptomatically in very young children. We present a case of a 32-month old with a draining dimpled skin lesion. Magnetic resonance images demonstrated an intramedullary epidermoid with a dorsal dermal sinus tract opening to the skin surface which was confirmed surgically. The patient was treated with debulking to prevent recurrent infection and progression of neurological symptoms. This case demonstrates the use of diffuse-weighted MRI to assist in the diagnosis and surgical management of an atypical presentation of a rare developmental abnormality, which is not well documented in the pediatric radiological literature. Failure to diagnosis may have significant neurological permanent debilitating consequences. Hindawi Publishing Corporation 2013 2013-10-22 /pmc/articles/PMC3819794/ /pubmed/24251061 http://dx.doi.org/10.1155/2013/878713 Text en Copyright © 2013 Michael G. Fazio et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Fazio, Michael G. Kil, Alyson M. Rooks, Veronica J. Biega, Timothy J. Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title_full | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title_fullStr | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title_full_unstemmed | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title_short | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
title_sort | diffusion-weighted magnetic resonance imaging of an intramedullary epidermoid cyst with dorsal dermal sinus tract in a toddler |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819794/ https://www.ncbi.nlm.nih.gov/pubmed/24251061 http://dx.doi.org/10.1155/2013/878713 |
work_keys_str_mv | AT faziomichaelg diffusionweightedmagneticresonanceimagingofanintramedullaryepidermoidcystwithdorsaldermalsinustractinatoddler AT kilalysonm diffusionweightedmagneticresonanceimagingofanintramedullaryepidermoidcystwithdorsaldermalsinustractinatoddler AT rooksveronicaj diffusionweightedmagneticresonanceimagingofanintramedullaryepidermoidcystwithdorsaldermalsinustractinatoddler AT biegatimothyj diffusionweightedmagneticresonanceimagingofanintramedullaryepidermoidcystwithdorsaldermalsinustractinatoddler |