A rare case of a pediatric white epidermoid cyst

  • Paige LundyEmail author
  • Paul Grabb
Case Report


White epidermoid cysts are a rare entity that present with atypical signal characteristics on MRI in comparison to typical epidermoid cysts. This can mislead a practitioner when trying to formulate a differential diagnosis based on imaging. We present the case of 15-year-old girl who presented with a pontine-medullar junction mass. This mass did not follow typical signal characteristics for known lesions. The mass was ultimately found to be an epidermoid cyst based on pathology findings. This lesion has rarely been reported in pediatric patients (J Pediatr Neurosci 9(1):52–54, 2014; Singap Med J 53(8):179–181, 2012). Here we present a rare case of an intracranial white epidermoid in a pediatric patient (Neurol India 62(5):577–579, 2014; Singap Med J 53(8):179–181, 2012; Am J Neuroradiol 19:1111–1112, 1998).


Epidermoid cyst White epidermoid Contrast enhancing Pontomedullary 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Diyora b, Nayak N, Kale D, Kamble H, Sharma A (2010) Frontal intraparenchymal “white epidermoid cyst”: a rare occurrence. JNeurosci Rural Pract 1(2):125–127CrossRefGoogle Scholar
  2. 2.
    Mishra SS, Panigrahi S, Dhir MK, Pattajoshi AS (2014) Intrinsic brainstem white epidermoid cyst: an unusual case report. J Pediatr Neurosci 9(1):52–54CrossRefGoogle Scholar
  3. 3.
    Puranik A, Sankhe S, Goel N, Mahore A (2012) Cerebral shading sign in a giant intraparenchymal white epidermoid. Neurol India 60(2):265–266CrossRefGoogle Scholar
  4. 4.
    Ramdasi R, Mahore A, Chagla A, Kawale J (2014) White epidermoid at the foramen magnum. Neurol India 62(5):577–579CrossRefGoogle Scholar
  5. 5.
    Ravindran K, Rogers TW, Yeun T, Gaillard F (2017) Intracranial white epidermoid cyst with dystrophic calcification–a case report and literature review. J Clin Neurosci 42:43–47CrossRefGoogle Scholar
  6. 6.
    Singh SS, Gupta K, Kumaran SP, Ghosal N, Furtado SV (2012) Pontomedullary white epidermoid: a rare cause of tinnitus. Singap Med J 53(8):179–181Google Scholar
  7. 7.
    Timmer FA, Sluzewski M, Treskes M, van Rooij WJJ, Teepen JLJM, Wijnalda D (1998) Chemical analysis of an epidermoid cyst with unusual CT and MR characteristics. Am J Neuroradiol 19:1111–1112PubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Department of Neurological SurgeryUniversity of KansasKansas CityUSA
  2. 2.Children’s Mercy HospitalKansas CityUSA
  3. 3.University of Missouri at Kansas CityKansas CityUSA

Personalised recommendations