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Case Report
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| Free floating, intraspinal, neuroepithelial cyst: A case report |
| Mihir Ravindra Bapat1, Mehandi Hassan Shaukat Ali Ansari2, Kiran Prakash Paknikar2, Prasanna Chandrakant Rathi2, Chirag Santosh Patel2 |
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1Director of Spine Surgery, Orthopedics Department, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
2Clinical Associate, Orthopedics Department, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India. |
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doi:10.5348/ijcri-2012-06-136-CR-9
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Address correspondence to: Dr. Mehandi Hassan Ansari Center for Bone and Joints, Kokilaben Dhirubhai Ambani Hospital Four Bungalows, Andheri West Mumbai - 400053 India Phone: +91- 9699872286 Fax: +91 - 22 - 30972030 Email: mehandi0120@gmail.com |
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| How to cite this article: |
| Bapat MR, Ansari MHSA, Paknikar KP, Rathi PC, Patel CS. Free floating, intraspinal, neuroepithelial cyst: A case report. International Journal of Case Reports and Images 2012;3(6):38–41. |
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Abstract
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Introduction:
Neuroepithelial (NE) cysts are congenital tumours of the central nervous system. Intraspinal NE cysts are rare. We report a case of intradural, extramedullary NE cyst with concomitant lumbar disc herniation with significant overlap of symptoms. Interesting is to note the free floating nature of the cyst and the change in the symptoms of the patient with the change in position of the cyst.
Case Report: A 41-year-old lady presented with acute onset low back pain with bilateral, radiating leg pain. MRI showed lumbar, intradural NE cyst with significant L5-S1 prolapse disc. The patient refused surgery and managed herself with intermittent analgesics for 12 months. However, with change in position of cyst from the posterior to the anterior aspect of the cauda, the patient had intractable leg pain with perineal pain and hypoaesthesia and urinary symptoms. Surgery was done to excise the cyst with L5-S1 microdiscectomy. Conclusion: NE cysts are rare, benign cysts of the central nervous system that have the capacity to expand by accumulating CSF like fluid, and require excision or decompression before any damage is caused by the pressure effect. Interesting in the case was to note the free floating nature of the cyst and the change in the symptoms of the patient with change in position of the cyst. | |
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Key Words:
Intradural neuroepithelial cyst
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Author Contributions:
Mihir Ravindra Bapat - Conception and design, analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mehandi Hassan Shaukat Ali Ansari - Conception and design, acquisition of data, analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Kiran Prakash Paknikar - Significant contributions in acquisition of data, analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Prasanna Chandrakant Rathi - Significant contributions in acquisition of data, analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Chirag Santosh Patel - Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Mihir Ravindra Bapat et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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