PT - JOURNAL ARTICLE AU - Christina Fleming AU - Chandrasekaran Kaliaperumal AU - Michael O’Sullivan TI - Recurrent intramedullary epidermoid cyst of conus medullaris AID - 10.1136/bcr.11.2011.5090 DP - 2011 Dec 13 TA - BMJ Case Reports PG - bcr1120115090 VI - 2011 4099 - http://casereports.bmj.com/content/2011/bcr.11.2011.5090.short 4100 - http://casereports.bmj.com/content/2011/bcr.11.2011.5090.full AB - Spinal intramedullary epidermoid cyst is a rare condition. Recurrent epidermoid cyst in the spine cord is known to occur. The authors describe a case of recurrent conus medullaris epidermoid cyst in a 24-year-old female. She initially presented at 7 years of age with bladder disturbance in the form of diurnal enuresis and recurrent urinary tract infection. MRI lumbar spine revealed a 4 cm conus medullaris epidermoid cyst. Since the initial presentation, the cyst had recurred seven times in the same location and she underwent surgical intervention in the form of exploration and debulking. This benign condition, owing to its anatomical location, has posed a surgical and overall management challenge. This occurrence is better managed in a tertiary-care centre requiring multi-disciplinary treatment approach.