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Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis
INTRODUCTION: Lumbar puncture with unstyletted needle or any other spine trauma can cause implantation of skin fragments inside the dura and can cause acquired intraspinal epidermoid tumors. There is significant delay found between the episode of lumbar puncture and the presentation of the tumor. To...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424307/ https://www.ncbi.nlm.nih.gov/pubmed/30915306 http://dx.doi.org/10.13107/jocr.2250-0685.1278 |
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author | Pillai, Suresh Cherian, Alice T |
author_facet | Pillai, Suresh Cherian, Alice T |
author_sort | Pillai, Suresh |
collection | PubMed |
description | INTRODUCTION: Lumbar puncture with unstyletted needle or any other spine trauma can cause implantation of skin fragments inside the dura and can cause acquired intraspinal epidermoid tumors. There is significant delay found between the episode of lumbar puncture and the presentation of the tumor. To the best of our knowledge, there is no reported case of intraspinal epidermoid tumor presenting as acute paraparesis secondary to infection of the tumor in the literature. CASE REPORT: A 19-month-old boy presented with acute paraparesis with acute bowel bladder involvement following an episode of fever cough and diarrhea. Investigations revealed that he had an intradural tumor with a secondary infection which caused the problem. Child was treated surgically with complete neural recovery. He has been under follow-up for possible recurrence CONCLUSION: Use of unstyletted needle for lumbar puncture is a possible cause for intraspinal epidermoid tumors. To the best of our knowledge, there is no reported case of intraspinal epidermoid tumor with secondary infection presenting as acute paraparesis, in the literature. |
format | Online Article Text |
id | pubmed-6424307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-64243072019-03-26 Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis Pillai, Suresh Cherian, Alice T J Orthop Case Rep Case Report INTRODUCTION: Lumbar puncture with unstyletted needle or any other spine trauma can cause implantation of skin fragments inside the dura and can cause acquired intraspinal epidermoid tumors. There is significant delay found between the episode of lumbar puncture and the presentation of the tumor. To the best of our knowledge, there is no reported case of intraspinal epidermoid tumor presenting as acute paraparesis secondary to infection of the tumor in the literature. CASE REPORT: A 19-month-old boy presented with acute paraparesis with acute bowel bladder involvement following an episode of fever cough and diarrhea. Investigations revealed that he had an intradural tumor with a secondary infection which caused the problem. Child was treated surgically with complete neural recovery. He has been under follow-up for possible recurrence CONCLUSION: Use of unstyletted needle for lumbar puncture is a possible cause for intraspinal epidermoid tumors. To the best of our knowledge, there is no reported case of intraspinal epidermoid tumor with secondary infection presenting as acute paraparesis, in the literature. Indian Orthopaedic Research Group 2018 /pmc/articles/PMC6424307/ /pubmed/30915306 http://dx.doi.org/10.13107/jocr.2250-0685.1278 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Pillai, Suresh Cherian, Alice T Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title | Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title_full | Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title_fullStr | Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title_full_unstemmed | Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title_short | Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis |
title_sort | iatrogenic intraspinal epidermal inclusion cyst with secondary infection: a cause for acute paraparesis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424307/ https://www.ncbi.nlm.nih.gov/pubmed/30915306 http://dx.doi.org/10.13107/jocr.2250-0685.1278 |
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