{"id":"3e358b69-d89a-4d38-b5b8-bd1df7644184","slug":"spinal-intramedullary-epidermoid-cysts-three-case-presentations-and-literature-review","title":"Spinal intramedullary epidermoid cysts: Three case presentations and literature review","authors":["Abolfazl Rahimizadeh","Guive Sharifi"],"abstract":"Background: True intramedullary epidermoid cysts (IECs) not associated with congenital anomalies or previous spinal procedures are extremely rare. In a review of the literature since 1992, only 29 such cases have been reported. Here, we add three new cases in this category. Case Description: Three adults presented with spastic paraparesis attributed to thoracic IECs. Gross total microsurgical removal was achieved in two cases, while one case was a partial resection due to capsular adherence to the cord. In all three cases, patients sustained complete recoveries of neurological function and remained symptom free for an average of 5 years follow-up. Conclusion: IECs are rare lesions; here, the three located in the thoracic spine, contributed to slow, progressive spastic paraparesis with/without incontinence, and resolved following total (2 patients) and partial (1 patient) resection.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/3e358b69-d89a-4d38-b5b8-bd1df7644184/featured/hero-1781563612611.png","publishDate":"2020-02-07T00:00:00.000Z","doi":"10.25259/SNI_540_2019","categories":["Spine","Review Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/3e358b69-d89a-4d38-b5b8-bd1df7644184/pdf"}