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Published in: Child's Nervous System 1/2008

01-01-2008 | Case Report

Cerebellar intra-axial dermoid cyst: a case of unusual location

Authors: Ishita Pant, Sanjeev Chandra Joshi

Published in: Child's Nervous System | Issue 1/2008

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Abstract

Objects

Intra-axial dermoid cysts are rare intracranial space occupying lesions, more so in the pediatric age group. Dermoid cysts account for about 0.2 to 1.8% of all intracranial tumors and are commonly located in the cisternal spaces, mainly in the cerebellopontine angle and parasellar cisterns. A purely intra-axial position as reported in this paper is quite exceptional.

Materials and methods

We report a case of intra-axial dermoid cyst located in the cerebellum that was surgically treated. The origin, clinical course, radiological features, pathological findings, and surgical treatment are discussed based on a review of the literature.

Conclusion

An intra-axial dermoid cyst is a rare entity and a preoperative diagnostic dilemma, as the radiologic findings overlap with many other intra-axial cerebellar masses. The case is reported in this paper to highlight the fact that, although rare, the possibility of an intra-axial mass being a dermoid cyst does exist.
Literature
1.
go back to reference Baxter JW, Netsky MG (1985) Epidermoid and dermoid tumors: pathology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 655–661 Baxter JW, Netsky MG (1985) Epidermoid and dermoid tumors: pathology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 655–661
2.
go back to reference Caldarelli M, Calosimo C, Di Rocco C (2001) Intraaxial dermoid/epidermoid tumors of the brain stem in children. Surg Neurol 56(2):97–105PubMedCrossRef Caldarelli M, Calosimo C, Di Rocco C (2001) Intraaxial dermoid/epidermoid tumors of the brain stem in children. Surg Neurol 56(2):97–105PubMedCrossRef
3.
go back to reference Calenbergh FV, Demaerel P, Sciot R, Gool SV (2005) Long term survival in a child with brain stem dermoid cyst. Surg Neurol 63(3):261–263PubMedCrossRef Calenbergh FV, Demaerel P, Sciot R, Gool SV (2005) Long term survival in a child with brain stem dermoid cyst. Surg Neurol 63(3):261–263PubMedCrossRef
4.
go back to reference Cobbs CS, Pitts LH, Wilson CB (1997) Epidermoid and dermoid cysts of the posterior fossa. Clin Neurosurg 44:511–528PubMed Cobbs CS, Pitts LH, Wilson CB (1997) Epidermoid and dermoid cysts of the posterior fossa. Clin Neurosurg 44:511–528PubMed
5.
go back to reference Conley FK (1985) Epidermoid and dermoid tumors. Clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 668–673 Conley FK (1985) Epidermoid and dermoid tumors. Clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 668–673
6.
go back to reference Fenstermaker RA, Ganz E, Roessmann U (1989) Case report: giant invasive intracerebral dermoid tumor with subependymoma-like reaction. Neurosurgery 25:646–648PubMedCrossRef Fenstermaker RA, Ganz E, Roessmann U (1989) Case report: giant invasive intracerebral dermoid tumor with subependymoma-like reaction. Neurosurgery 25:646–648PubMedCrossRef
7.
go back to reference Fornari M, Solero CL, Lasio G, Lodrini S, Balestrini MR, Cimino C, Visintini S, Pluchino F (1990) Surgical treatment of intra cranial dermoid and epidermoid cysts in children. Childs Nerv Syst 6:66–70PubMedCrossRef Fornari M, Solero CL, Lasio G, Lodrini S, Balestrini MR, Cimino C, Visintini S, Pluchino F (1990) Surgical treatment of intra cranial dermoid and epidermoid cysts in children. Childs Nerv Syst 6:66–70PubMedCrossRef
8.
go back to reference Guidetti B, Gagliardi FM (1997) Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 47:12–18 Guidetti B, Gagliardi FM (1997) Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 47:12–18
9.
go back to reference Hayek G, Mercier P, Fournier HD, Menei P, Pouplard F, Guy G (2001) Dermal sinus and dermoid cyst revealed by abscess formation in posterior fossa. Report of 2 pediatric cases and review of the literature. Neurochirurgie 47:123–127PubMed Hayek G, Mercier P, Fournier HD, Menei P, Pouplard F, Guy G (2001) Dermal sinus and dermoid cyst revealed by abscess formation in posterior fossa. Report of 2 pediatric cases and review of the literature. Neurochirurgie 47:123–127PubMed
10.
go back to reference Russell DS, Rubinstein LJ (1989) Pathology of tumors of the nervous system. Edward Arnold, London, pp 690–695 Russell DS, Rubinstein LJ (1989) Pathology of tumors of the nervous system. Edward Arnold, London, pp 690–695
11.
go back to reference Samii M, Tatagiba M, Piquer J, Carva GA (1996) Surgical treatment of epidermoid cysts of the cerebellopontine angle. J Neurosurg 84:14–19PubMedCrossRef Samii M, Tatagiba M, Piquer J, Carva GA (1996) Surgical treatment of epidermoid cysts of the cerebellopontine angle. J Neurosurg 84:14–19PubMedCrossRef
12.
go back to reference Sener RN, Mechl M, Prokes B, Valek VA (2004) Dermoid tumor with involvement of the frontal lobes. Acta Radiol 45(2):209–211PubMedCrossRef Sener RN, Mechl M, Prokes B, Valek VA (2004) Dermoid tumor with involvement of the frontal lobes. Acta Radiol 45(2):209–211PubMedCrossRef
13.
go back to reference Uglietta JP, Boyko OB, Rippe DJ, Fuller GN, Schiff SJ, Heinz ER (1989) Intracerebral extension of nasal dermoid cyst: CT appearance. J Comput Assist Tomogr 13:1061–1064PubMedCrossRef Uglietta JP, Boyko OB, Rippe DJ, Fuller GN, Schiff SJ, Heinz ER (1989) Intracerebral extension of nasal dermoid cyst: CT appearance. J Comput Assist Tomogr 13:1061–1064PubMedCrossRef
14.
go back to reference Vion-Dury J, Vincentelli F, Jaddane M (1987) MR imaging of epidermoid cysts. Neuroradiology 29:333–338PubMedCrossRef Vion-Dury J, Vincentelli F, Jaddane M (1987) MR imaging of epidermoid cysts. Neuroradiology 29:333–338PubMedCrossRef
15.
go back to reference Yasargil MG, Abernathey CD, Sarioglu AC (1989) Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24:561–567PubMedCrossRef Yasargil MG, Abernathey CD, Sarioglu AC (1989) Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24:561–567PubMedCrossRef
Metadata
Title
Cerebellar intra-axial dermoid cyst: a case of unusual location
Authors
Ishita Pant
Sanjeev Chandra Joshi
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 1/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-007-0445-z

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