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 CASE REPORT
Year : 2007  |  Volume : 2  |  Issue : 1  |  Page : 28-30

Cauda equina syndrome due to implantation epidermoid tumor: After 38 years of surgery for lumbar meningocele in a neonate


1 Department of Neurosurgery, IGH, Rourkela, India
2 Department of Orthopaedics, IGH, Rourkela, India
3 Department of General Surgery, IGH, Rourkela, India

Correspondence Address:
Rabindra N Mohapatra
Qr. No. C/91, Sector-19, Rourkela - 769 005, Orissa
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.32005

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Intraspinal epidermoid tumors are rare. Most of these tumors occur spontaneously, while others may be acquired. Occurrence of epidermoid tumor following surgery for spinal dysraphism has been reported till 15 years from the day of surgery. We report here a case of Cauda equina syndrome due to intraspinal epidermoid tumor following 38 years of surgery for spinal dysraphism. Though epidermoid tumors grow linearly - unlike other tumors, which grow exponentially - we could not find any report in English literature where such a long time of 38 years was taken for the tumor to manifest clinically. The longest period reported for epidermoid tumors to manifest clinically following repair of spinal dysraphism is 15 years. We report this case because it is a case of the longest silent period taken by the implantation epidermoid tumor to manifest clinically.






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