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Vol. 32. Issue 6.
Pages 300-304 (November - December 2021)
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Vol. 32. Issue 6.
Pages 300-304 (November - December 2021)
Case Report
Lumbar dermoid cysts: 3 illustrative cases and a total review of the literature of the last two decades
Quistes dermoides lumbares: 3 casos ilustrativos y revisión completa de la literatura en las últimas 2 décadas
Yosselin De-La-Paza, Iype Cherianb, Edmundo Valencia-Bayonac, Mohammed Alaswadd, Arturo Muñoz-Cobosa,e, José D. Carrillo-Ruizf,g, Jesús Q. Beltráng,
Corresponding author
jqbeltran@fisio.cinvestav.mx

Corresponding author.
a Department of Neurosurgery, General Hospital of Mexico, Dr. Balmis 148, Col. Doctores, Alcaldía Cuauhtémoc, CP 06720 Mexico City, Mexico
b Department of Neurosurgery, Institute of Neurosciences, Nobel Medical College Teaching Hospital, Kanchanbari, Biratnagar Metropolitan City-5, Biratnagar 56700, Nepal
c Department of Neurosurgery, Universitet Druzhby Narodov, Ulitsa Miklukho-Maklaya, 6, ZIP 117198 Moscow, Russia
d Department of Neurosurgery, Suez Canal University Hospital, The Ring Rd, El Sheikh Zayed, Ismalia Third, Ismailia Governorate, Egypt
e Department of Neurosurgery, Hospital Star Medica Chihuahua, Perif. de la Juventud 6103, Saucito, CP 31110 Chihuahua, Mexico
f Psychophysiology and Neuroscience Coordination, Anahuac University, North Campus, Av Universidad Anáhuac 46, Lomas Anahuac, CP 52786 Estado de México, Mexico
g Unit of Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Dr. Balmis 148, Col. Doctores, Alcaldía Cuauhtémoc, CP 06720 Mexico City, Mexico
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Tables (2)
Table 1. Review of characteristics of the lumbar dermoid cysts in the xxi century.13
Table 2. Review of imaging & evolution of the lumbar dermoid cysts in the XXI century.13
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Abstract

Spinal dermoid cysts are relatively infrequent tumors generally associated with a benign course. Here we describe three cases and analyzed the 109 cases of lumbar dermal cysts described in the literature in the last 20 years. We report a pediatric patient with a dermoid cyst posterior to a lumbar surgery for myelomeningocele repair with bad evolution; and two adult patients with the affection of the motor and autonomic function with good surgical outcomes. In approximately half of the reviewed cases, it was reported at least one complication. In fact, two cases had a fatal outcome. We discuss relevant characteristics of these lesions and those aspects probably associated with complications and bad outcomes.

Keywords:
Dermoid cyst
Lumbar dysraphism
Lumbar cyst
Dermoid tumor
Resumen

Los quistes dermoides espinales son tumores relativamente infrecuentes, generalmente asociados con un curso benigno. Aquí describimos 3 casos y analizamos los 109 casos de quistes dermoides lumbares descritos en la literatura en los últimos 20 años. Nosotros reportamos un paciente pediátrico quien presentó un quiste dermoide secundario a una cirugía de reparación de mielomeningocele con mala evolución; y 2 pacientes adultos con decremento de la fuerza en las extremidades y afección autonómica con buenos resultados posquirúrgicos. En la revisión de la literatura es destacable que en aproximadamente la mitad de los casos se informó al menos una complicación. Incluso, se reportaron 2 defunciones. Se discuten aquí las características relevantes de estas lesiones y aquellos aspectos probablemente asociados con complicaciones y mala evolución.

Palabras clave:
Quiste demoide
Disrafismo lumbar
Quiste lumbar
Tumor dermoide

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