Quiste Epidermoide Espinal, Presentación de dos Casos y Revisión de la Literatura
Palabras clave:
quiste epidermoide, disrafismo espinal, intramedular epidermoide, currencia tumoral, cápsula tumoral
Resumen
Los tumores epidermoides espinales, son tumores infrecuentes, pueden ser de origen congénito o adquirido, el diagnóstico y resección quirúrgica temprana y total de la lesión conducen a una mejoría del diagnóstico. Presentamos 2 casos: Mujeres de 45 y 44 años, una con antecedente de mielomenigocele, ambas con disminución de la fuerza en extremidades inferiores, la resonancia magnética con lesión neoplásica, se les realizó laminectomia y resección de lesión, ambas con reporte de anatomía patológica compatible con quiste epidermoide, posterior a la cirugía clínicamente con resolución de los síntomas. La laminectomía y resección completa de la lesión, sigue siendo el mejor tratamiento. Del grado de resección tumoral depende del pronóstico y la recurrencia.
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Citas
1.- Wu, X., Chen, C., Yang, M., Yuan, X., Chen, H., & Yin, L. (2020). Squamous Cell Carcinoma Malignantly Transformed From Frequent Recurrence of a Presacral Epidermoid Cyst: Report of a Case. Frontiers in Oncology, 10. https://doi.org/10.3389/fonc.2020.00458.
2.- Rahimizadeh, A., & Sharifi, G. (2020). Spinal intramedullary epidermoid cysts: Three case presentations and literature review. Surgical Neurology International, 11, 17.
https://doi.org/10.25259/sni_540_2019.
3.- Fernández-de Thomas, R. J., Vicenty-Padilla, J. C., Sánchez-Jiménez, J. G., Labat, E. J., Carballo-Cuello, C. M., De Jesús, O., & Vigo-Prieto, J. A. (2019). Obstructive Hydrocephalus and Chemical Meningitis Secondary to a Ruptured Spinal Epidermoid Cyst. World Neurosurgery, 132, 173-176. https://doi.org/10.1016/j.wneu.2019.08.187.
4.- Musali, S. R., Mohammed, I., Gollapudi, P. R., & Maley, S. K. (2019). Dorsal Spinal Intradural Intramedullary Epidermoid Cyst: A Rare Case Report and Review of Literature. Journal of Neurosciences in Rural Practice, 10(02), 352-354. https://doi.org/10.4103/jnrp.jnrp_304_18.
5.- Akgun, B., Ergun, A. C., Ozercan, I. H., & Kok, S. (2019). Intradural Extramedullary Epidermoid Cyst at the Conus Medullaris Level with Thoracic Syringomyelia: A Case Report. Acta Medica (Hradec Kralove, Czech Republic), 62(1), 39-42. https://doi.org/10.14712/18059694.2019.45.
6.- Agrawal, M., Gour, S. S. K., & Borkar, S. A. (2019). Unusual Calcification in Intramedullary Epidermoid Cyst. World Neurosurgery, 126, 99-100.
https://doi.org/10.1016/j.wneu.2019.02.016.
7.- Balaparameswara Rao, S. J., Bhaliya, H., & Parthiban, J. K. B. C. (2019). Lumbar Intramedullary Epidermoid Following Repair of Sacral Myelomeningocele and Tethered Cord: A Case Report With a Review of the Relevant Literature and Operative Nuances. Neurospine, 16(2), 373-377.
https://doi.org/10.14245/ns.1836152.076.
8.- Prabhuraj, A., Mishra, A., Pruthi, N., & Rao, S. (2018). Adult intramedullary epidermoid cyst without spinal dysraphism: A case report. Surgical Neurology International, 9(1), 122. https://doi.org/10.4103/sni.sni_117_18.
9.- Lin, Y.-P., Li, Y.-J., Chen, B.-L., & Guo, Y.-H. (2018). Lumbar laminotomy and replantation for the treatment of adult spinal epidermoid cyst. Medicine, 97(1), e9334.
https://doi.org/10.1097/md.0000000000009334.
10.- Li, J., Qian, M., Huang, X., Zhao, L., Yang, X., & Xiao, J. (2017). Repeated recurrent epidermoid cyst with atypical hyperplasia. Medicine, 96(49), e8950.
https://doi.org/10.1097/md.0000000000008950.
11.- Funao, H., Isogai, N., Daimon, K., Mima, Y., Sugiura, H., Koyanagi, T., … Ishii, K. (2017). A rare case of intradural and extramedullary epidermoid cyst after repetitive epidural anesthesia: case report and review of the literature. World Journal of Surgical Oncology, 15(1).
https://doi.org/10.1186/s12957-017-1186-4.
12.- Graillon, T., Rakotozanany, P., Meyer, M., Dufour, H., & Fuentes, S. (2017). Intramedullary epidermoid cysts in adults: Case report and updated literature review. Neurochirurgie, 63(2), 99-102. https://doi.org/10.1016/j.neuchi.2017.01.004.
13.- Morbée, L., Lagae, Ph., Smet, B., Baelde, N., & De Mey, J. (2015). A Congenital Spinal Epidermoid Cyst. Journal of the Belgian Society of Radiology, 99(1), 127-128.
https://doi.org/10.5334/jbr-btr.848
14.- Park, M. H., Cho, T. G., Moon, J. G., Kim, C. H., & Lee, H. K. (2014). Iatrogenic Intraspinal Epidermoid Cyst. Korean Journal of Spine, 11(3), 195.
https://doi.org/10.14245/kjs.2014.11.3.195.
15.- Sheng, H., Lin, J., Wang, H., Yin, B., & Zhang, N. (2011). Spinal epidermoid cyst formation after spinal fracture operation: a case report. Turkish Neurosurgery. https://doi.org/10.5137/1019-5149.jtn.5216-11.1.
2.- Rahimizadeh, A., & Sharifi, G. (2020). Spinal intramedullary epidermoid cysts: Three case presentations and literature review. Surgical Neurology International, 11, 17.
https://doi.org/10.25259/sni_540_2019.
3.- Fernández-de Thomas, R. J., Vicenty-Padilla, J. C., Sánchez-Jiménez, J. G., Labat, E. J., Carballo-Cuello, C. M., De Jesús, O., & Vigo-Prieto, J. A. (2019). Obstructive Hydrocephalus and Chemical Meningitis Secondary to a Ruptured Spinal Epidermoid Cyst. World Neurosurgery, 132, 173-176. https://doi.org/10.1016/j.wneu.2019.08.187.
4.- Musali, S. R., Mohammed, I., Gollapudi, P. R., & Maley, S. K. (2019). Dorsal Spinal Intradural Intramedullary Epidermoid Cyst: A Rare Case Report and Review of Literature. Journal of Neurosciences in Rural Practice, 10(02), 352-354. https://doi.org/10.4103/jnrp.jnrp_304_18.
5.- Akgun, B., Ergun, A. C., Ozercan, I. H., & Kok, S. (2019). Intradural Extramedullary Epidermoid Cyst at the Conus Medullaris Level with Thoracic Syringomyelia: A Case Report. Acta Medica (Hradec Kralove, Czech Republic), 62(1), 39-42. https://doi.org/10.14712/18059694.2019.45.
6.- Agrawal, M., Gour, S. S. K., & Borkar, S. A. (2019). Unusual Calcification in Intramedullary Epidermoid Cyst. World Neurosurgery, 126, 99-100.
https://doi.org/10.1016/j.wneu.2019.02.016.
7.- Balaparameswara Rao, S. J., Bhaliya, H., & Parthiban, J. K. B. C. (2019). Lumbar Intramedullary Epidermoid Following Repair of Sacral Myelomeningocele and Tethered Cord: A Case Report With a Review of the Relevant Literature and Operative Nuances. Neurospine, 16(2), 373-377.
https://doi.org/10.14245/ns.1836152.076.
8.- Prabhuraj, A., Mishra, A., Pruthi, N., & Rao, S. (2018). Adult intramedullary epidermoid cyst without spinal dysraphism: A case report. Surgical Neurology International, 9(1), 122. https://doi.org/10.4103/sni.sni_117_18.
9.- Lin, Y.-P., Li, Y.-J., Chen, B.-L., & Guo, Y.-H. (2018). Lumbar laminotomy and replantation for the treatment of adult spinal epidermoid cyst. Medicine, 97(1), e9334.
https://doi.org/10.1097/md.0000000000009334.
10.- Li, J., Qian, M., Huang, X., Zhao, L., Yang, X., & Xiao, J. (2017). Repeated recurrent epidermoid cyst with atypical hyperplasia. Medicine, 96(49), e8950.
https://doi.org/10.1097/md.0000000000008950.
11.- Funao, H., Isogai, N., Daimon, K., Mima, Y., Sugiura, H., Koyanagi, T., … Ishii, K. (2017). A rare case of intradural and extramedullary epidermoid cyst after repetitive epidural anesthesia: case report and review of the literature. World Journal of Surgical Oncology, 15(1).
https://doi.org/10.1186/s12957-017-1186-4.
12.- Graillon, T., Rakotozanany, P., Meyer, M., Dufour, H., & Fuentes, S. (2017). Intramedullary epidermoid cysts in adults: Case report and updated literature review. Neurochirurgie, 63(2), 99-102. https://doi.org/10.1016/j.neuchi.2017.01.004.
13.- Morbée, L., Lagae, Ph., Smet, B., Baelde, N., & De Mey, J. (2015). A Congenital Spinal Epidermoid Cyst. Journal of the Belgian Society of Radiology, 99(1), 127-128.
https://doi.org/10.5334/jbr-btr.848
14.- Park, M. H., Cho, T. G., Moon, J. G., Kim, C. H., & Lee, H. K. (2014). Iatrogenic Intraspinal Epidermoid Cyst. Korean Journal of Spine, 11(3), 195.
https://doi.org/10.14245/kjs.2014.11.3.195.
15.- Sheng, H., Lin, J., Wang, H., Yin, B., & Zhang, N. (2011). Spinal epidermoid cyst formation after spinal fracture operation: a case report. Turkish Neurosurgery. https://doi.org/10.5137/1019-5149.jtn.5216-11.1.
Publicado
2025-10-03
Cómo citar
De La Paz Ponce , Y. G., Martinez Zerón, V., Gómez Pimentel, P., & Bell Fernández, J. Y. (2025). Quiste Epidermoide Espinal, Presentación de dos Casos y Revisión de la Literatura. Ciencia Latina Revista Científica Multidisciplinar, 9(4), 11354-11362. https://doi.org/10.37811/cl_rcm.v9i4.19730
Número
Sección
Ciencias de la Salud
Derechos de autor 2025 Yosselin Guadalupe De La Paz Ponce , Verónica Martinez Zerón, Pedro Gómez Pimentel, Jesus Yesleider Bell Fernández
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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