NeoplasmRuptured intracranial dermoid cysts
Section snippets
Case report
A 16-year-old female complained of palsy of the right arm and right-sided facial numbness in December 1999. The symptoms persisted for a couple of hours. A repeat episode occurred one month later, whereupon her physician referred the patient for magnetic resonance (MR) imaging of the head. The MR examination demonstrated a mass in the left supra- and parasellar region on the left, and the patient was hospitalized.
On admission, the patient was in good general condition. No neurologic deficits
Discussion
Intracranial dermoids are reported to account for 0.04% to 0.25% of all intracranial neoplasms. They are four to 10 times less common than intracranial epidermoid cysts 3, 7, 18, 26, 27, 29, 30. The term “dermoid cyst” often causes confusion because it is sometimes wrongly used synonymously with the terms “epidermoid,” “pearl tumor,” and “teratoma.”
The presence of hair follicles, sebaceous and sweat glands in the cyst wall distinguishes dermoid from epidermoid cysts. Both arise from the
References (55)
- et al.
Ruptured suprasellar dermoid associated with middle cerebral artery aneurysmcase report
Surg Neurol
(1992) - et al.
Febrile convulsions in an adult as presenting symptom of an intracranial dermoid cysta case report
Epilepsy Res
(1988) - et al.
Dermoid cysts and their complications as manifested by computed cranial tomography
Comput Tomogr
(1980) Ruptured intracranial dermoid
Am J Surg
(1960)- et al.
MR and CT appearance of ruptured intracranial dermoid tumors
Comput Radiol
(1987) - et al.
Preoperative diagnosis of a ruptured intracranial dermoid cyst by computerized tomography
J Neurosurg
(1978) - et al.
Cerebral dermoid tumors
Neurochirurgia
(1976) - et al.
Rupture d’un kyste dermoide intra-cérébral
J Radiol
(1986) - et al.
Rupture spontanée d′un kyste dermoide intracrânien. Etude clinique et radiologique
J Radiol
(1986) Two cases of intracranial dermoid; with a survey of the previously reported cases
Acta Chir Scand
(1941)
Brain tumors simulating meningitis
J Neurosurg
Massive rupture of suprasellar dermoid cyst into ventricles
J Neurosurg
NMR imaging of congenital germinal layer neoplasms
Neuroradiology
Ruptured dermoid tumor of the cavernous sinus associated with the syndrome of fat embolism
J Neurosurg
Spontaneous rupture of an intracerebral dermoid cyst
Ann Radiol
Vertalgung der Hirnventrikel und der Subarachnoidalräume infolge Ruptur einer Dermoidzyste
Schweiz Zbl Pathol Bakteriol
Giant invasive intracerebral dermoid tumor with subependymoma-like reactionCase report
Neurosurg
Transient cerebral ischemia as a manifestation of ruptured intracranial dermoid cyst
J Comput Assist Tomogr
Ruptured intracranial dermoid as an incidental finding
Akt Radiol
A cancer arising in a dermoid of the brain
J Neuropathol Exp Neurol
Epidermoid and dermoid cysts. Clinical evaluation and late surgical results
J Neurosurg
MR imaging of ruptured intracranial dermoid
J Comput Assist Tomogr
Intracranial intradural epidermoids and dermoids. Surgical results of 38 cases
Neurosurg Rev
Diagnosis by computerized tomography of intradural dermoid with spontaneous rupture of the cyst
Acta Neurochir
Subarachnoid rupture of supratentorial dermoid cystCT and MRI aspects
J Radiol
The diagnosis of ruptured intracranial dermoid cysts
Br J Neurosurg
Persisting intraventricular fat-fluid levels following surgery on a ruptured dermoid cyst of the posterior fossa
Acta Radiol
Cited by (95)
Acute headache and seizures in psychiatric patient revealing atypical location of a ruptured dermoid cyst
2024, Radiology Case ReportsHeadache in Brain Tumors
2024, Neurologic ClinicsRuptured intracranial dermoid cyst in a child. Cause of atypical neurological symptoms
2020, Interdisciplinary Neurosurgery: Advanced Techniques and Case ManagementRare Case of Giant Supratentorial Dermoid Cyst
2020, World Neurosurgery