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Child's Nervous System

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01-08-2018 | Case Report

Endoscopic removal of a suprasellar dermoid cyst in a pediatric patient: a case report and review of the literature

Authors: Gokmen Kahilogullari, Fatih Yakar, Eyup Bayatli, Esra Erden, Cem Meco, Agahan Unlu

Published in: Child's Nervous System | Issue 8/2018

Abstract

Introduction

Dermoid cysts (DCs) are unusual benign congenital intracranial tumors that typicallyarise in the midline and form as a result of abnormal sequestration of ectodermal cells during neural tubeformation. In all age groups, endoscopic approaches are preferable for the removal of sellar lesions.

Case summary

A 6-year-old girl with recurrent meningitis underwent endoscopic endonasal surgery forsellar DC.

Conclusion

To the best of our knowledge, we present the first case of a suprasellar DC in a pediatric patient that was removed endoscopically.

Ahmad I, Tominaga T, Ogawa A, Yoshimoto T (1992) Ruptured suprasellar dermoid associated with middle cerebral artery aneurysm: case report. Surg Neurol 38:341–346CrossRefPubMed

Akdemir G, Daglioglu E, Ergungor MF (2004) Dermoid lesion of the cavernous sinus: case report and review of the literature. Neurosurg Rev 27:294–9298CrossRefPubMed

Berger MS, Wilson CB (1985) Epidermoid cysts of the posterior fossa. J Neurosurg 62:214–219CrossRefPubMed

Brown JY, Morokoff AP, Mitchell PJ, Gonzales MF (2001) Unusual imaging appearance of an intracranial dermoid cyst. AJNR Am J Neuroradiol 22:1970–1972PubMed

Caldarelli M, Massimi L, Kondageski C, Di Rocco C (2004) Intracranial midline dermoid and epidermoid cysts in children. J Neurosurg 100:473–480PubMed

Chhang WH, Sharma BS, Singh K, Suri S, Marwaha RK, Kak VK (1989) A middle fossa arachnoid cyst in association with a suprasellar dermoid cyst. Indian Pediatr 26:833–835PubMed

Cobbs CS, Pitts LH, Wilson CB (1997) Epidermoid and dermoid cysts of the posterior fossa. Clin Neurosurg 44:511–528PubMed

Cohen JE, Abdallah JA, Garrote M (1997) Massive rupture of suprasellar dermoid cyst into ventricles. Case illustration. J Neurosurg 87:963CrossRefPubMed

Detweiler MB, David E, Arif S (2009) Ruptured intracranial dermoid cyst presenting with neuropsychiatric symptoms: a case report. South Med J 102:98–100CrossRefPubMed

10.

Endo H, Murakami K, Watanabe M, Tominaga T (2011) Extradural dermoid cyst of the parasellar region: a case report. Skull Base Rep 1:3–6CrossRefPubMed

11.

Fanous AA, Gupta P, Li V (2014) Analysis of the growth pattern of a dermoid cyst. J Neurosurg Pediatr 14:621–625CrossRefPubMed

12.

Ganapathy SS, Wong P, Naffaa L (2016) Cystic suprasellar mass. J Am Osteopath Coll Radiol 5

13.

García Cosamalón PJ, Mostaza Saavedra AL, Fernández Fernández JJ, Fernández Rojo F, Abad Rico JM (1988) Suprasellar dermoid cyst in adults. Description of a case and review of the literature.[Article in Spanish]. Arch Neurobiol (Madr) 51:223–228

14.

Gormley WB, Tomecek FJ, Qureshi N, Malik GM (1994) Craniocerebral epidermoid and dermoid tumours: a review of 32 cases. Acta Neurochir 128:115–121CrossRefPubMed

15.

Hamer J (1980) Diagnosis by computerized tomography of intradural dermoid with spontaneous rupture of the cyst. Acta Neurochir 51:219–226CrossRefPubMed

16.

Kurwale N, Kumar R, Sharma MC, Sharma BS (2013) Suprasellar dermoid cyst associated with colloid cyst of the third ventricle: disordered embryogenesis or a mere coincidence? J Neurosci Rural Pract 4:345–347CrossRefPubMedPubMedCentral

17.

Lin CJ, Jou JR, Woung LC, Tu YK, Jeng YM, Chang HC (2003) Suprasellar dermoid cyst presenting as acquired exotropia. J Pediatr Ophthalmol Strabismus 40:47–50PubMed

18.

Liu JK, Gottfried ON, Salzman KL, Schmidt RH, Couldwell WT (2008) Ruptured intracranial dermoid cysts: clinical, radio-graphic, and surgical features. Neurosurgery 62:377–384CrossRefPubMed

19.

Locatelli D, Massimi L, Rigante M, Custodi V, Paludetti G, Castelnuovo P, Di Rocco C (2010) Endoscopic endonasal transsphenoidal surgery for sellar tumors in children. Int J Pediatr Otorhinolaryngol 74(11):1298–1302CrossRefPubMed

20.

Lunardi P, Missori P (1995) Familial hypercholesterolemia and intracavernous venous spilling of cholesterol in a child with large suprasellar dermoid cyst. Case report. Neurosurg Rev 18:49–52CrossRefPubMed

21.

Majmudar V, Loffeld A, Happle R, Salim A (2007) Phacomatosis pigmentokeratotica associated with a suprasellar dermoid cyst and leg hypertrophy. Clin Exp Dermatol 32:690–692CrossRefPubMed

22.

Sanchez-Mejia RO, Limbo M, Tihan T, Galvez MG, Woodward MV, Gupta N (2006) Intracranial dermoid cyst mimicking hemorrhage. Case report and review of the literature. J Neurosurg 105:311–314PubMed

23.

Smirniotopoulos JG, Chiechi MV (1995) Teratomas, dermoids, and epidermoids of the head and neck. Radiographics 15:1437–1455CrossRefPubMed

24.

Sundhar Krishnan G, Balasubramaniam D, Vikram VJ (2016) Above the sphenoid in to dermoid-expanded endoscopic two nostrils four hand technique: a case report. Indian J Otolaryngol Head Neck Surg 68:254–256CrossRefPubMed

25.

Takeuchi H, Kubota T, Kabuto M, Izaki K (1993) Ruptured suprasellar dermoid cyst presenting olfactory delusion (Eigengeruchs erlebnis). Neurosurgery 33:97–99PubMed

26.

Tan LA, Kasliwal MK, Harbhajanka A, Kellogg RG, Arvanitis LD, Munoz LF (2015) Hyperdense suprasellar mass: an unusual radiological presentation of intracranial dermoid cyst. J Clin Neurosci 22:1208–1210CrossRefPubMed

27.

Venkatesh SK, Phadke RV, Trivedi P, Bannerji D (2002) Asymptomatic spontaneous rupture of suprasellar dermoid cyst: a case report. Neurol India 50:480–483PubMed

28.

Yamada S, Aiba T, Shishiba Y, Hara M (1989) CT and MR appearance of multiple intracranial lesions associated with suprasellar dermoid cyst. Radiat Med 7:261–264PubMed

29.

Yoneoka Y, Watanabe N, Kohno M, Satoh D, Takahashi H, Fujii Y (2014) Technical note: endoscopic resection of a dermoid cyst anchored to the anterior optic chiasm. Interdiscip Neurosurg 1:21–25CrossRef

30.

Zheng K, Mao BY, Ma L, Jiang S (2010) Ruptured intracranial dermoid cyst with infarction in the basal ganglia—case report. Neurol Med Chir (Tokyo) 50:254–256CrossRef

Title: Endoscopic removal of a suprasellar dermoid cyst in a pediatric patient: a case report and review of the literature
Authors: Gokmen Kahilogullari
Fatih Yakar
Eyup Bayatli
Esra Erden
Cem Meco
Agahan Unlu
Publication date: 01-08-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 8/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3777-y

At a glance: The STEP trials

Springer Medicine

Endoscopic removal of a suprasellar dermoid cyst in a pediatric patient: a case report and review of the literature

Abstract

Introduction

Case summary

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case summary

Conclusion

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