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Rahman et al. Neuroimmunol Neuroinflammation 2018;5:14 Neuroimmunology and
DOI: 10.20517/2347-8659.2017.57 Neuroinflammation

Case Report Open Access

Very rare upperdorsal intramedullary epidermoid
with paraplegia: a case report

Md. Atikur Rahman , Bipin Kumar Chaurasia , Md. Arif Hossain , Saequa Habib , Kanak Kanti Barua 1
1
1
1
2
1 Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000, Bangladesh.
2 Department of Pathology, Bangabandhu Sheikh Mujib Medical University, Dhaka 1000, Bangladesh.
Correspondence to: Dr. Md. Atikur Rahman, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
1000, Bangladesh. E-mail: atiquessmc@gmail.com; Dr. Bipin Kumar Chaurasia, Department of Neurosurgery, Bangabandhu Sheikh
Mujib Medical University, Dhaka 1000, Bangladesh. E-mail: trozexa@gmail.com

How to cite this article: Rahman MA, Chaurasia BK, Hossain MA, Habib S, Barua KK. Very rare upperdorsal intramedullary
epidermoid with paraplegia: a case report. Neuroimmunol Neuroinflammation 2018;5:14.
http://dx.doi.org/10.20517/2347-8659.2017.57
Received: 14 Nov 2017 Frist Decision: 26 Feb 2018 Revised: 15 Mar 2018 Accepted: 15 Mar 2018 Published: 23 Apr 2018

Science Editor: Athanassios P. Kyritsis Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract
Intramedullary upperdorsal epidermoid tumor is very rare. As far as we know, a small number of epidermoid tumors
in the spinal cord have been reported in the journal for a long time. Most of the time, the spinal cord epidermoids are
intradural extramedullary. We are reporting a case of a 21-year-old young man with paraplegia and upper dorsal pain
for 6 months with normal physical findings. Magnetic resonance imaging scan shows that spinal intramedullary space
occupying lesions in the dorsal 2/3 (D2/3) level. Total clearance was accomplished by performing laminectomy. Day to
day paraplegia was improved. Histopathology was confirmed as an epidermoid tumor from two different centers.

Keywords: Upperdorsal, epidermoid, intramedullary

INTRODUCTION
Epidermoids are rare before late childhood and have slight female predominance. Cervical and upper
thoracic epidermoids are rare and conus is the most common site. Epidermoid tumors are usually located
intradural extra medullary, but conus/cauda equina may have intramedullary component (completely
[1]
[2]
intramedullary lesions are rare) . An epidermoid cyst is a slow growing indolent rare lesion . This tumor
involving the spinal cord is quite uncommon. The opinion of the majority of authors is that these tumors
arise from displaced normally developing somatic cells . The vast majority of intraspinal epidermoid
[3]
tumors are intradural and extramedullary. They are commonly associated with a dermal sinus and occur
usually in the lumbosacral segments. In 1962, Manno et al. in a review of all reported cases, found only
[4]
© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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