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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...

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Autores principales: Pillai, Suresh, Cherian, Alice T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2018
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.
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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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