Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler
We report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare oc...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2013/878713 |
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| author | Michael G. Fazio Alyson M. Kil Veronica J. Rooks Timothy J. Biega |
| author_facet | Michael G. Fazio Alyson M. Kil Veronica J. Rooks Timothy J. Biega |
| author_sort | Michael G. Fazio |
| collection | DOAJ |
| description | We report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare occurrences and seldom present symptomatically in very young children. We present a case of a 32-month old with a draining dimpled skin lesion. Magnetic resonance images demonstrated an intramedullary epidermoid with a dorsal dermal sinus tract opening to the skin surface which was confirmed surgically. The patient was treated with debulking to prevent recurrent infection and progression of neurological symptoms. This case demonstrates the use of diffuse-weighted MRI to assist in the diagnosis and surgical management of an atypical presentation of a rare developmental abnormality, which is not well documented in the pediatric radiological literature. Failure to diagnosis may have significant neurological permanent debilitating consequences. |
| format | Article |
| id | doaj-art-c63c94b7b1f54d8ea68f1c2315d66ca2 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-c63c94b7b1f54d8ea68f1c2315d66ca22025-02-03T05:46:45ZengWileyCase Reports in Radiology2090-68622090-68702013-01-01201310.1155/2013/878713878713Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a ToddlerMichael G. Fazio0Alyson M. Kil1Veronica J. Rooks2Timothy J. Biega3Department of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USAKeck School of Medicine, University of Southern California, Los Angeles, CA, USADepartment of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USADepartment of Radiology, MCHK-DR, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USAWe report the use of diffusion-weighted magnetic resonance imaging to diagnose and manage a rare case of a symptomatic thoracic intramedullary congenital epidermoid cyst with associated dermal sinus in a girl. Congenital intramedullary epidermoid cysts with associated dermal sinuses are very rare occurrences and seldom present symptomatically in very young children. We present a case of a 32-month old with a draining dimpled skin lesion. Magnetic resonance images demonstrated an intramedullary epidermoid with a dorsal dermal sinus tract opening to the skin surface which was confirmed surgically. The patient was treated with debulking to prevent recurrent infection and progression of neurological symptoms. This case demonstrates the use of diffuse-weighted MRI to assist in the diagnosis and surgical management of an atypical presentation of a rare developmental abnormality, which is not well documented in the pediatric radiological literature. Failure to diagnosis may have significant neurological permanent debilitating consequences.http://dx.doi.org/10.1155/2013/878713 |
| spellingShingle | Michael G. Fazio Alyson M. Kil Veronica J. Rooks Timothy J. Biega Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler Case Reports in Radiology |
| title | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
| title_full | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
| title_fullStr | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
| title_full_unstemmed | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
| title_short | Diffusion-Weighted Magnetic Resonance Imaging of an Intramedullary Epidermoid Cyst with Dorsal Dermal Sinus Tract in a Toddler |
| title_sort | diffusion weighted magnetic resonance imaging of an intramedullary epidermoid cyst with dorsal dermal sinus tract in a toddler |
| url | http://dx.doi.org/10.1155/2013/878713 |
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