Orbital Dermoid Cyst with Intracranial Extension in Adults: An Unusual Case

2012 ◽  
Vol 27 (3-4) ◽  
pp. 56-58 ◽  
Author(s):  
Askin Esen Hasturk ◽  
Fuat Erten ◽  
Isin Pak
Keyword(s):  
Dermoid Cyst ◽  
Unusual Case ◽  
Intracranial Extension

Prevotella melaninogenica Meningitis and Abscess: A Complication of the Removal of a Midline Dermoid Cyst

2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz
Keyword(s):  
Dermoid Cyst ◽  
Bacterial Infections ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Neural Tube Closure ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Oral Flora ◽  
Prevotella Melaninogenica ◽  
Dermal Sinus Tract

Abstract Prevotella species are gram-negative anaerobic commensal bacteria of the oropharynx, which frequently cause periodontal disease but are otherwise rarely implicated in serious bacterial infections. Cranial dermoid cysts are benign neoplasms that grow along the planes of the embryonic neural tube closure. In infants, they most commonly present in frontal locations, including periorbital, nasal, and within the anterior fontanelle. Although dermoid cysts are slow growing, usually uncomplicated, and easily treated definitively with surgical excision, cranial cysts located on the midline are associated with a higher risk for persistent dermal sinus tract with intracranial extension of the tumor. We describe a case of a 10-month-old male patient with an occipital midline dermoid cyst with intracranial extension, infected with Prevotella melaninogenica, and complicated by intracranial abscess formation and meningitis.This case highlights two unusual disease entities: the uncommon occipital location of a dermoid cyst, and complications of that cyst caused by a serious bacterial infection with a normal oral flora. We discuss the recommendation for neuroimaging prior to surgical excision of a midline dermoid cyst, given the risk for dermal sinus tract with intracranial communication. We also discuss potential mechanisms for bacterial inoculation of this cyst with Prevotella melaninogenica. This pathogen has not previously been reported as a complication of dermoid cysts.

scholarly journals An Unusual Case of Unilateral Multiple Periorbital Dermoid Cyst

Ophthalmology ◽  
2020 ◽  
Vol 127 (3) ◽  
pp. 304
Author(s):  
Santiago Montolío-Marzo ◽  
Ester Casas-Gimeno ◽  
Joan Prat-Bartomeu
Keyword(s):  
Dermoid Cyst ◽  
Unusual Case

scholarly journals Dermoid Cyst of the Pancreas: A Report of an Unusual Case and a Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Aynur Albayrak ◽  
Umran Yildirim ◽  
Metin Aydin
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Preoperative Diagnosis ◽  
Unusual Case ◽  
Epigastric Pain ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Histopathologic Evaluation ◽  
Cystic Pancreatic Lesions ◽  
Rare Diagnosis

Pancreatic dermoid cysts are a rare entity. Preoperative diagnosis is difficult. The diagnosis is generally taking intraoperative. A 20-year-old female presented with epigastric pain without nausea, vomiting, diarrhea, fever, jaundice, and weight loss of one-month duration. Ultrasonography and computed tomography showed a smooth borders, solid, hyperechoic tumor within midline abdomen, without any connection to the stomach or spleen. At surgery, the entire mass was excised off of the head and inferior part of pancreas. Histopathologic evaluation revealed the rare diagnosis of a dermoid cyst. The diagnosis is difficult preoperatively in evaluating cystic pancreatic lesions by imaging. Therefore, we want to summarize the literature on this rare entity knowledge.

scholarly journals Nasal dermoid cysts with intracranial extension: avoiding coronal incision through midline exposure and nasal bone osteotomy

2020 ◽  
Vol 25 (3) ◽  
pp. 298-304
Author(s):  
Chad A. Purnell ◽  
Rachel Skladman ◽  
Tord D. Alden ◽  
Julia F. Corcoran ◽  
Jeffrey C. Rastatter
Keyword(s):  
Blood Loss ◽  
Dermoid Cyst ◽  
Demographic Data ◽  
Nasal Bone ◽  
Direct Access ◽  
Intracranial Extension ◽  
Transfusion Rate ◽  
Cyst Excision ◽  
The Mean ◽  
Coronal Incision

OBJECTIVEUp to 10% of midline nasal dermoid cysts have intracranial extension. Previous techniques of excision include frontal and frontonasal craniotomies via a coronal approach, combined with a direct cutaneous excision of the dermoid cyst. While the coronal incision allows for wide visualization, it carries significant risks of transfusion, blood loss, and scarring. The authors present an alternative technique in which access is gained through a midline extension of the dermoid cyst excision that provides direct access for a keyhole frontal craniotomy.METHODSThe authors utilize a nasal bone osteotomy, pericranial flap, and keyhole-type craniotomy performed through a nasal midline incision for the treatment of nasal dermoid cysts with intracranial extension. They performed a retrospective chart review of all patients with nasal dermoid cysts treated at the Ann & Robert H. Lurie Children’s Hospital of Chicago from 2009 to 2017. Patient demographic data, operative data, and in- and outpatient complication data were collected.RESULTSIn 10 patients with cyst extension near or into the intracranial cavity (7 with true intracranial extension), the nasal osteotomy technique was performed. The mean blood loss was 13 ml, with a 0% transfusion rate. The mean length of inpatient stay was 1 day. A durotomy was made and repaired as part of the dermoid cyst dissection in 3 patients. One patient underwent intraoperative placement of a lumbar drain. The mean operative time was 228 minutes. There were no intraoperative or postoperative complications, including the need for a reoperation. No patients had any long-term complications, and no patients have had dermoid cyst recurrence. The appearance of the scar was acceptable in all cases.CONCLUSIONSThe midline approach to nasal dermoid cysts with intracranial extension is safe and results in limited blood loss, short operative times, and short lengths of inpatient hospital stay. This is a viable technique for the treatment of this challenging pathology.

scholarly journals Craniofacial dermoid cyst: a case report

2019 ◽  
Vol 5 (3) ◽  
pp. 785
Author(s):  
Morad Faoury ◽  
Stefan Mitrasinovic ◽  
William Hellier ◽  
Nijaguna Mathad ◽  
Madanagopalan Ethunandan
Keyword(s):  
Dermoid Cyst ◽  
Frontal Bone ◽  
Intracranial Extension ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Soft Tissue Swelling ◽  
Definitive Management

<p class="abstract">We describe a case of a craniofacial dermoid cyst in a 16-month boy treated at our tertiary referral centre. The patient presented with a soft tissue swelling in the mid forehead extending down to the glabella. Computed tomography and magnetic resonance imaging scans demonstrated a peripherally enhancing cystic lesion with a defect in the underlying frontal bone. The clinical and imaging features were suggestive of a dermoid cyst with intracranial extension. The cyst became infected pre-operatively and this episode was managed by aspiration and antibiotics. Definitive management was by excision of the extra and intra-cranial components of the lesion via a bifrontal craniotomy. The presentation, investigations and management of this lesion is discussed.</p>

scholarly journals Dermoid Cyst in the Anterior Fontanel: Case Report

2021 ◽  
Author(s):  
Lisvette Ochoa Gómez ◽  
Olga Lidia Rodríguez Infanzón ◽  
Walquiris Concepción Parra ◽  
Leonardo Camejo Roviralta ◽  
Gisela Eduarda Feria Díaz ◽  
...  
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Intracranial Extension ◽  
Epithelial Tissue ◽  
Anterior Fontanelle ◽  
Anterior Fontanel ◽  
Nmr Studies ◽  
Palabras Clave ◽  
Histopathological Studies

Introduction: Dermoid cysts in the anterior fontanel are rare lesions, problems around 0.1–0.5% of all cranial tumors. It originated during the early stages of development and derived from embryonic epithelial tissue located along the midline. CT and NMR studies are of choice to rule out intracranial extension. They are diagnosed and treated with surgery in childhood. In this article, a review of the literature on this pathology is performed and a clinical case is reported in order to show the results of imaging studies in the Dermoid Cyst in childhood. Case Presentation: Four-month-old female infant with Dermoid Cyst in the Anterior Fontanelle, without neurological compromise who was once a surgery. The surgical piece affected uniform, encapsulated, mobile, soft lesion with clear content. The obstetric history, clinical data, physical examination, imaging and histopathological studies confirmed the diagnosis of Dermoid Cyst, the patient’s postoperative evolution is satisfactory, currently undergoing follow-up by Neuropediatrics. Conclusion: in simple pediatric patients with Dermoid Cyst in the anterior Fontanelle, simple Computerized Axial Skull Tomography is very useful for its diagnosis, as well as the performance of surgical treatment and postoperative follow- up for a favorable evolution and better prognosis. Keywords: dermoid cyst, anterior fontanelle, congenital inclusion cyst, case report. RESUMEN Introducción: La frecuencia de presentación del Quiste Dermoide en fontanela anterior es muy baja y se desarrollan en la etapa embrionaria de la vida en la que el tejido embrionario de la línea media dá lugar a su formación. Los estudios de TAC y RMN son de elección para descartar la extensión intracraneal. Se diagnostican y tratan con cirugía en la niñez. En este artículo se realiza una revisión de la literatura sobre esta patología y se relata un caso clínico con el objetivo de mostrar los resultados de estudios imagenológicos en el Quiste Dermoide en la infancia. Presentación de Caso: Lactante femenina de cuatro meses con Quiste Dermoide de la fontanela anterior sin complicaciones fue intervenida quirúrgicamente. Se realizó excéresis de lesión blanda, encapsulada y movible. Los antecedentes obstétricos, datos clínicos, examen físico, estudios imagenológicos e histopatológico confirmaron el diagnóstico de Quiste tipo Dermoide, la evolución posoperatoria de la paciente es satisfactoria, actualmente en seguimiento por Neuropediatría. Conclusiones: En pacientes pediátricos con Quiste Dermoide en la Fontanela anterior es de gran utilidad la Tomografía Axial Computarizada simple de Cráneo para su diagnóstico, así como, la realización de un tratamiento quirúrgico y el seguimiento postoperatorio para una favorable evolución y mejor pronóstico. Palabras clave: quiste dermoide, fontanela anterior, quiste de inclusión congénita, informe de caso.

scholarly journals An Unusual Case of Primary Nasal Tuberculosis with Epistaxis and Epilepsy

2002 ◽  
Vol 81 (12) ◽  
pp. 842-844 ◽  
Author(s):  
Kadambari Batra ◽  
Neena Chaudhary ◽  
Gul Motwani ◽  
A.K. Rai
Keyword(s):  
Drug Therapy ◽  
Unusual Case ◽  
Relevant Literature ◽  
Rare Condition ◽  
Intracranial Extension ◽  
Antituberculosis Drug ◽  
Radiologic Finding ◽  
Associated Symptoms ◽  
Grand Mal ◽  
Age And Sex

Primary nasal tuberculosis is rare. We report a case that was all the more extraordinary because of the age and sex of the patient (an 11-year-old boy), the unusual associated symptoms (epistaxis and grand mal seizures), and the presence of intracranial extension. Clinical and radiologic finding s on our initial evaluation suggested that the patient had a large sinonasal malignancy. The patient manifested no evidence of pulmonary tuberculosis. The diagnosis of primary nasal tuberculosis was established only after we obtained the results of histopathology of the excised mass and a subsequent tuberculin skin test; the diagnosis was confirmed by the patient's rapid response to antituberculosis drug therapy. We also review the relevant literature on this rare condition.

scholarly journals Acardius Acephalic Monster

2011 ◽  
Vol 3 (3) ◽  
pp. 141-142
Author(s):  
Anuradha Kakani ◽  
D Shrivastava ◽  
Asha Arora
Keyword(s):  
Postmenopausal Woman ◽  
Dermoid Cyst ◽  
Coming Out ◽  
Vaginal Hysterectomy ◽  
Unusual Case ◽  
Reproductive Age ◽  
Age Group ◽  
Rare Entity ◽  
Reproductive Age Group ◽  
In Pregnancy

ABSTRACT Dermoid cyst in postmenopausal women is a rare entity. It is seen most commonly in young reproductive age group. It constitutes about 10 to 20% of all ovarian tumors in pregnancy. Chance of malignancy is about 1-2%, torsion is common. Here, we have presented an unusual case of dermoid cyst in a postmenopausal woman who presented with complaints which were not directly related to the cyst. A 16-week mass per abdomen was not bothering the patient at all, rather she presented in the OPD with a mass coming out per vaginum, which was a third degree uterocervical descent. Patient was posted for vaginal hysterectomy and the cyst was removed perabdominally.

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