A rare case of a pediatric white epidermoid cyst

Abstract

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).

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References

  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):125–127

  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):52–54

    Article  PubMed  PubMed Central  Google 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):265–266

    Article  PubMed  Google Scholar 

  4. 4.

    Ramdasi R, Mahore A, Chagla A, Kawale J (2014) White epidermoid at the foramen magnum. Neurol India 62(5):577–579

    Article  PubMed  Google 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 42:43–47

    Article  PubMed  Google 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):179–181

    Google 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 19:1111–1112

    CAS  PubMed  Google Scholar 

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Correspondence to Paige Lundy.

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Lundy, P., Grabb, P. A rare case of a pediatric white epidermoid cyst. Childs Nerv Syst 36, 1795–1798 (2020). https://doi.org/10.1007/s00381-020-04507-8

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Keywords

  • Epidermoid cyst
  • White epidermoid
  • Contrast enhancing
  • Pontomedullary