Composed of cells that embryologically comprise skin and its appendages (hair follicles, sweat glands, and sebaceous glands)
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Khalighinejad F et al: Spinal intradural extramedullary dermoid cyst. World Neurosurg. 134:448-51, 2020
Patwari S et al: Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst. Asian J Neurosurg. 14(3):975-7, 2019
AbouZeid AA et al: The Currarino triad: what pediatric surgeons need to know. J Pediatr Surg. 52(8):1260-8, 2017
Graillon T et al: Intramedullary epidermoid cysts in adults: case report and updated literature review. Neurochirurgie. 63(2):99-102, 2017
Garg K et al: Isolated central canal rupture of spinal dermoid. Report of 3 cases. J Neurosurg Spine. 21(3):361-6, 2014
Mishra SS et al: Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci. 9(1):30-2, 2014
Vadivelu S et al: Infected lumbar dermoid cyst mimicking intramedullary spinal cord tumor: observations and outcomes. J Pediatr Neurosci. 9(1):21-6, 2014
Liu H et al: Microsurgical treatment of spinal epidermoid and dermoid cysts in the lumbosacral region. J Clin Neurosci. 19(5):712-7, 2012
van Aalst J et al: Intraspinal dermoid and epidermoid tumors: report of 18 cases and reappraisal of the literature. Pediatr Neurosurg. 45(4):281-90, 2009
Danzer E et al: Intradural inclusion cysts following in utero closure of myelomeningocele: clinical implications and follow-up findings. J Neurosurg Pediatr. 2(6):406-13, 2008
Ramos E et al: Congenital dermoid tumor in a child at initial myelomeningocele closure: an etiological discussion. J Neurosurg Pediatr. 2(6):414-5, 2008
Kasliwal MK et al: Symptomatic central canal rupture heralding the presence of an asymptomatic conus dermoid. J Neurooncol. 84(1):39-40, 2007
Kukreja K et al: Differentiation between pediatric spinal arachnoid and epidermoid-dermoid cysts: is diffusion-weighted MRI useful? Pediatr Radiol. 37(6):556-60, 2007
Muthukumar N et al: Intramedullary dermoid in a low lying conus tethered by a fatty filum - embryological implications. Acta Neurochir (Wien). 149(11):1173-5, 2007
Coppens JR et al: Presumed rupture of a conus medullaris dermoid cyst with cervical intramedullary fat and lipomatous infiltration of the cauda equina. Case illustration. J Neurosurg Spine. 5(2):178, 2006
Terai T et al: Adult onset tethered cord syndrome associated with intradural dermoid cyst. a case report. Spinal Cord. 44(4):260-2, 2006
Goyal A et al: Spontaneous rupture of spinal dermoid cyst with disseminated lipid droplets in central canal and ventricles. J Neurosurg Sci. 48(2):63-5, 2004
Ziv ET et al: Iatrogenic intraspinal epidermoid tumor: two cases and a review of the literature. Spine. 29(1):E15-8, 2004
Bretz A et al: Intraspinal epidermoid cyst successfully treated with radiotherapy: case report. Neurosurgery. 53(6):1429-31; discussion 1431-2, 2003
Ferrara P et al: Intramedullary epidermoid cyst presenting with abnormal urological manifestations. Spinal Cord. 41(11):645-8, 2003
Amato VG et al: Intramedullary epidermoid cyst: preoperative diagnosis and surgical management after MRI introduction. Case report and updating of the literature. J Neurosurg Sci. 46(3-4):122-6, 2002
Graham D et al: Greenfield's Neuropathology. 7th ed. London: Arnold. 964-6, 2002
Scarrow AM et al: Epidermoid cyst of the thoracic spine: case history. Clin Neurol Neurosurg. 103(4):220-2, 2001
Kikuchi K et al: The utility of diffusion-weighted imaging with navigator-echo technique for the diagnosis of spinal epidermoid cysts. AJNR Am J Neuroradiol. 21(6):1164-6, 2000
Potgieter S et al: Epidermoid tumours associated with lumbar punctures performed in early neonatal life. Dev Med Child Neurol. 40(4):266-9, 1998
Machida T et al: Acquired epidermoid tumour in the thoracic spinal canal. Neuroradiology. 35(4):316-8, 1993
Toro VE et al: MRI of iatrogenic spinal epidermoid tumor. J Comput Assist Tomogr. 17(6):970-2, 1993
Lunardi P et al: Long-term results of the surgical treatment of spinal dermoid and epidermoid tumors. Neurosurgery. 25(6):860-4, 1989
Shikata J et al: Intraspinal epidermoid and dermoid cysts. Surgical results of seven cases. Arch Orthop Trauma Surg. 107(2):105-9, 1988
Phillips J et al: Magnetic resonance imaging of intraspinal epidermoid cyst: a case report. J Comput Tomogr. 11(2):181-3, 1987
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Dermoid tumor, dermoid
Definitions
Benign spinal mass
Composed of cells that embryologically comprise skin and its appendages (hair follicles, sweat glands, and sebaceous glands)
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Khalighinejad F et al: Spinal intradural extramedullary dermoid cyst. World Neurosurg. 134:448-51, 2020
Patwari S et al: Thoracic dorsal dermal sinus with secondarily infected intramedullary dermoid cyst. Asian J Neurosurg. 14(3):975-7, 2019
AbouZeid AA et al: The Currarino triad: what pediatric surgeons need to know. J Pediatr Surg. 52(8):1260-8, 2017
Graillon T et al: Intramedullary epidermoid cysts in adults: case report and updated literature review. Neurochirurgie. 63(2):99-102, 2017
Garg K et al: Isolated central canal rupture of spinal dermoid. Report of 3 cases. J Neurosurg Spine. 21(3):361-6, 2014
Mishra SS et al: Thoracic congenital dermal sinus associated with intramedullary spinal dermoid cyst. J Pediatr Neurosci. 9(1):30-2, 2014
Vadivelu S et al: Infected lumbar dermoid cyst mimicking intramedullary spinal cord tumor: observations and outcomes. J Pediatr Neurosci. 9(1):21-6, 2014
Liu H et al: Microsurgical treatment of spinal epidermoid and dermoid cysts in the lumbosacral region. J Clin Neurosci. 19(5):712-7, 2012
van Aalst J et al: Intraspinal dermoid and epidermoid tumors: report of 18 cases and reappraisal of the literature. Pediatr Neurosurg. 45(4):281-90, 2009
Danzer E et al: Intradural inclusion cysts following in utero closure of myelomeningocele: clinical implications and follow-up findings. J Neurosurg Pediatr. 2(6):406-13, 2008
Ramos E et al: Congenital dermoid tumor in a child at initial myelomeningocele closure: an etiological discussion. J Neurosurg Pediatr. 2(6):414-5, 2008
Kasliwal MK et al: Symptomatic central canal rupture heralding the presence of an asymptomatic conus dermoid. J Neurooncol. 84(1):39-40, 2007
Kukreja K et al: Differentiation between pediatric spinal arachnoid and epidermoid-dermoid cysts: is diffusion-weighted MRI useful? Pediatr Radiol. 37(6):556-60, 2007
Muthukumar N et al: Intramedullary dermoid in a low lying conus tethered by a fatty filum - embryological implications. Acta Neurochir (Wien). 149(11):1173-5, 2007
Coppens JR et al: Presumed rupture of a conus medullaris dermoid cyst with cervical intramedullary fat and lipomatous infiltration of the cauda equina. Case illustration. J Neurosurg Spine. 5(2):178, 2006
Terai T et al: Adult onset tethered cord syndrome associated with intradural dermoid cyst. a case report. Spinal Cord. 44(4):260-2, 2006
Goyal A et al: Spontaneous rupture of spinal dermoid cyst with disseminated lipid droplets in central canal and ventricles. J Neurosurg Sci. 48(2):63-5, 2004
Ziv ET et al: Iatrogenic intraspinal epidermoid tumor: two cases and a review of the literature. Spine. 29(1):E15-8, 2004
Bretz A et al: Intraspinal epidermoid cyst successfully treated with radiotherapy: case report. Neurosurgery. 53(6):1429-31; discussion 1431-2, 2003
Ferrara P et al: Intramedullary epidermoid cyst presenting with abnormal urological manifestations. Spinal Cord. 41(11):645-8, 2003
Amato VG et al: Intramedullary epidermoid cyst: preoperative diagnosis and surgical management after MRI introduction. Case report and updating of the literature. J Neurosurg Sci. 46(3-4):122-6, 2002
Graham D et al: Greenfield's Neuropathology. 7th ed. London: Arnold. 964-6, 2002
Scarrow AM et al: Epidermoid cyst of the thoracic spine: case history. Clin Neurol Neurosurg. 103(4):220-2, 2001
Kikuchi K et al: The utility of diffusion-weighted imaging with navigator-echo technique for the diagnosis of spinal epidermoid cysts. AJNR Am J Neuroradiol. 21(6):1164-6, 2000
Potgieter S et al: Epidermoid tumours associated with lumbar punctures performed in early neonatal life. Dev Med Child Neurol. 40(4):266-9, 1998
Machida T et al: Acquired epidermoid tumour in the thoracic spinal canal. Neuroradiology. 35(4):316-8, 1993
Toro VE et al: MRI of iatrogenic spinal epidermoid tumor. J Comput Assist Tomogr. 17(6):970-2, 1993
Lunardi P et al: Long-term results of the surgical treatment of spinal dermoid and epidermoid tumors. Neurosurgery. 25(6):860-4, 1989
Shikata J et al: Intraspinal epidermoid and dermoid cysts. Surgical results of seven cases. Arch Orthop Trauma Surg. 107(2):105-9, 1988
Phillips J et al: Magnetic resonance imaging of intraspinal epidermoid cyst: a case report. J Comput Tomogr. 11(2):181-3, 1987
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