Lumbar Intradural Intramedullary Epidermoid Cyst: A Case Report

Epidermoid cysts have a benign etiology and can be either congenital, usually associated with malformations, or acquired, related to external events, even iatrogenic. As for their location, they are classified as extradural, intradural, extramedullary, intramedullary. Intradural intramedullary epidermoid quite uncommon, few cases reported in literature so far. Because of its slow growth, there may delay diagnosis. Its symptoms depend on lesion’s topography, total cyst removal is recommended improve the condition. In this paper, we report case an adult patient progressive spastic crural paraparesis, without malformations. Imaging exams showed intradural cyst, which was completely removed, subsequent improvement patient’s clinical status.