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Repeated aspiration and sclerotherapy to manage recurrent spinal epidermoid cyst
  1. Zafar Neyaz1,
  2. Surya Nandan Prasad1,
  3. Vivek Singh1 and
  4. Rajendra Vishnu Phadke2
  1. 1Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Interventional Radiology, Apollomedics Super Speciality Hospitals, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Vivek Singh; singhvivek79{at}


Spinal epidermoid cysts are rare lesions and epidermoid cyst in intramedullary location is even rarer. Surgical excision is the mainstay of treatment; however, in cases of recurrence, repeat surgery becomes quite difficult. Treatment of recurrent intramedullary epidermoid cyst by surgery alone is a challenge. We managed one such rare case with repeated aspiration and sclerotherapy. Here, we have highlighted hypertonic saline sclerotherapy as a promising tool to treat recurrent spinal epidermoid cysts.

  • neuroanaesthesia
  • neuroimaging
  • spinal cord
  • interventional radiology

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  • Contributors VS and ZN conceived the manuscript. ZN prepared the manuscript. SNP collected the images and also helped in manuscript preparation. RVP and VS edited the manuscript. The final manuscript was read and approved by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.