RESUMO
Spinal epidermoid are rare lesion of spine. We report a case of 12 year old female who presented with difficulty in walking and weakness in left lower limb. MRI spine showed epidermoid at level of L1-L2. Laminectomy and surgical excision of the cystic lesion was planned .Intra operativelya pearly white tumor adherent to cord was found and excised. Histopathological examination confirmed the diagnosis of epidermoid cyst. One year after surgery she again came with complaint of pain at the site of surgery following which MRI was done which showed recurrence of epidermoid, intra operatively it was found that it was a cystic cavity filled with hemolyzed blood mimicking as recurrent epidermoid radiologically
RESUMO
Ahlstrom's syndrome is an autosomal recessive, single gene disorder with multisystem involvement with cone-rod retinal dystrophy leading to juvenile blindness, sensorineural hearing loss, obesity, insulin resistance and type 2 Diabetes mellitus. The other less common involvements may severely affect the prognosis and survival and include endocrine abnormalities, dilated cardiomyopathy(DCM) , pulmonary fibrosis and restrictive lung disease, progressive hepatic and renal failure.Apart from its typical, well known clinical features, hepatic & biliary involvement should be kept in mind. Though not known in literature, the biliary tract abnormalities might not be so uncommon. A routine MRCP in a child of AS with typical or atypical biliary tract involvement is thus advisable.