ArticleJournal of neurosurgery. Case lessons2026
Spinal epidermoid cyst: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
backgroundSpinal epidermoid cysts are rare, benign lesions accounting for less than 1% of all spinal tumors. They may be congenital or acquired following trauma or spinal procedures. Although slow-growing, their mass effect can cause progressive neurological symptoms. Resection remains the mainstay of treatment, but they may recur when complete removal is limited by adherence to neural structures. OBSERVATIONS: A 71-year-old female with prior lumbar surgery presented with back pain and radiculopathy after multiple falls. MRI revealed a recurrent intradural extramedullary lesion at L1-2. She underwent endoscope-assisted revision laminectomy with gross-total resection. Pathological analysis confirmed an epidermoid cyst. Postoperatively, the patient remained neurologically stable without recurrence at 3 months. LESSONS: Endoscope-assisted microsurgical resection provides excellent visualization for safe, effective removal of spinal epidermoid cysts. Despite favorable outcomes, long-term follow-up is essential due to the risk of recurrence. https://thejns.org/doi/10.3171/CASE25909.
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