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Child's Nervous System

, Volume 34, Issue 8, pp 1589–1592 | Cite as

Intrinsic epidermoid of the brain stem: case report and review of the literature

  • Saraj K. Singh
  • Kapil Jain
  • Vijendra Kumar Jain
Case Report
  • 88 Downloads

Abstract

Purpose

Purely cystic brain stem epidermoid is a rare diagnosis among all brainstem cystic lesions. Further, it is very rare in pediatric age group.

Methods

Here, we are reporting a rare case of completely cystic brain stem epidermoid in a child. The patient presented with clinical features of brain stem involvement. MRI brain was suggestive of cystic brain stem lesion.

Results

Patient went through surgical procedure. Final diagnosis of epidermoid cyst was confirmed on histopathological report.

Conclusion

With the help of various advanced sequences of MRI like diffusion and ADC, diagnosis of epidermoid cyst can be established at unusual intracranial site also. Surgical resection of epidermoid cyst at brain stem should be attempted judiciously utilizing all modern tools of neurosurgery.

Keywords

Brainstem Epidermoid cyst Diffusion sequence MRI Cystic glioma 

Abbreviations

MRI

magnetic resonance imaging

ADC

apparent diffusion coefficient

Notes

Compliance with ethical standards

Conflict of interest statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

381_2018_3774_MOESM1_ESM.mp4 (3 mb)
Video 1. Showing opaque fluid with thin membrane. (MP4 3081 kb)

References

  1. 1.
    Recinos PF, Roonprapunt C, Jallo GI (2006) Intrinsic brainstem epidermoid cyst. Case report and review of the literature. J Neurosurg 104(Suppl 4):285–289PubMedGoogle Scholar
  2. 2.
    Katzman GL (2004) Epidermoid cyst. In: Diagnostic imaging: Brain. Salt Lake City, Utah: Amirsys, p. I-7-16Google Scholar
  3. 3.
    Berger MS, Wilson CB (1985) Epidermoid cysts of the posterior fossa. J Neurosurg 62:214–219CrossRefPubMedGoogle Scholar
  4. 4.
    Mishra SS, Panigrahi S, Dhir MK, Pattajoshi AS (2014) Intrinsic brainstem white epidermoid cyst: an unusual case report. J Pediatr Neurosci 9:52–54CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Caldarelli M, Colosimo C, Di Rocco C (2001) Intra-axial dermoid/epidermoid tumors of the brainstem in children. Surg Neurol 56:97–105CrossRefPubMedGoogle Scholar
  6. 6.
    Ulrich J (1964) Intracranial epidermoids. A study on their distribution and spread. J Neurosurg 21:1051–1058CrossRefPubMedGoogle Scholar
  7. 7.
    Patibandla MR, Yerramneni VK, Mudumba VS, Manisha N, Addagada GC (2016) Brainstem epidermoid cyst: an update. Asian J Neurosurg 11:194–200CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Tan TI (1972) Epidermoids and dermoids of the central nervous system. (With two exceptional cases not represented in the literature). ActaNeurochir (Wien) 26:13–24CrossRefGoogle Scholar
  9. 9.
    Ziyal IM, Bilginer B, Bozkurt G, Cataltepe O, Tezel GG, Akalan N (2005) Epidermoid cyst of the brain stem symptomatic in childhood. Childs Nerv Syst 21:1025–1029CrossRefPubMedGoogle Scholar
  10. 10.
    Leal O, Miles J (1978) Epidermoid cyst in the brain stem. Case report. J Neurosurg 48:811–813CrossRefPubMedGoogle Scholar
  11. 11.
    Doll A, Abu Eid M, Kehrli P, Esposito P, Gillis C, Bogorin A et al (2000) Aspect of FLAIR sequences, 3D-CISS and diffusion weight MR imaging of intracranial epidermoid cysts. J Neuroradiol 27:101–106PubMedGoogle Scholar
  12. 12.
    Bergui M, Zhong J, Bradac GB, Sales S (2001) Diffusion-weighted images of intracranial cyst-like lesions. Neuroradiology 43:824–829CrossRefPubMedGoogle Scholar
  13. 13.
    Obana WG, Wilson CB (1991) Epidermoid cyst of the brain stem. Report of three cases. J Neurosurg 74:123–128CrossRefPubMedGoogle Scholar
  14. 14.
    Fournier D, Mercier P, Menei P, Pouplard F, Rizk T, Guy G (1992) Recurrent intrinsic brain stem epidermoid cyst. Childs Nerv Syst 8:471–474CrossRefPubMedGoogle Scholar
  15. 15.
    Takahashi M, Paz Paredes A, Scavarda D, Lena G (2007) Brainstem epidermoid cyst in a child. Case report. Neurol Med Chir (Tokyo) 47:140–144CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Saraj K. Singh
    • 1
  • Kapil Jain
    • 1
  • Vijendra Kumar Jain
    • 1
  1. 1.Department of NeurosurgeryMax Super Speciality HospitalNew DelhiIndia

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