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British Journal of Radiology (2006) 79, 167-169
© 2006 British Institute of Radiology
doi: 10.1259/bjr/17232685
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Case report

Ruptured spinal dermoid cyst with disseminated intracranial fat droplets

J G Cha, MD, S-H Paik, MD, J-S Park, MD, S-J Park, MD, D-H Kim, MD and H-K Lee, MD

Department of Radiology, Soonchunhyang University Bucheon Hospital, 1174, Jung-dong, Wonmi-gu, Bucheon-St Gyeonggi-do, 420-021, Republic of Korea

Fat droplets in the cerebrospinal fluid (CSF) is a well-known complication of ruptured intracranial dermoid tumours. We report an unusual case of a ruptured spinal dermoid tumour. MR images showed a tethered spinal cord and an intramedullary fat-containing mass. Fat droplets were revealed in the ventricles and the cisternal spaces on brain CT and brain MR. In the English literature, a ruptured spinal dermoid tumour accompanying a tethered spinal cord is extremely rare.






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