PMC5820871_01
T1-weighted images showing isointense lesion at D12
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F1
T2-weighted images [Figures 1-3]. The rest of spinal cord, cord termination, and conus medullaris were normal in signal thus ruling out spinal cord edema or myelomalacia. The patient underwent D11 to L1 Laminotomy with total excision of the lesion.
T2-weighted images showing hyper intense lesion
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F2
T2-weighted images [Figures 1-3]. The rest of spinal cord, cord termination, and conus medullaris were normal in signal thus ruling out spinal cord edema or myelomalacia. The patient underwent D11 to L1 Laminotomy with total excision of the lesion.
Axial cuts showing intradural-extramedullary lesion compressing the cord
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F3
T2-weighted images [Figures 1-3]. The rest of spinal cord, cord termination, and conus medullaris were normal in signal thus ruling out spinal cord edema or myelomalacia. The patient underwent D11 to L1 Laminotomy with total excision of the lesion.
Intraoperative image
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F4
Intraoperatively, it was a bi-lobed lesion with lower one yellowish-gray, cystic while the upper one was firm and whitish containing gelatinous material [Figure 4].
Histopathology image
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F5
Histopathology examination suggested that the overall features were consistent with mature cystic [Figure 5].
Postoperative magnetic resonance imaging showing complete excision
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F6
There was minimal improvement in foot drop at 1-month follow-up [Figure 6].