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BACKGROUND Epidermoid cysts are rare benign neoplasms within the neuroaxis and account for less than 1% of all intraspinal tumors. They can be congenital or acquired. Being a slow growing tumor, the clinical presentation is widely variable depending on the location, size or age of the patient. OBJECTIVES Due to the rarity of this entity, the diagnosis and treatment are often delayed. We wanted to offer an updated overall view on the spinal epidermoid cyst in order to facilitate diagnosis and treatment decisions. METHODS We present a case

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