PDF herunterladen
Open Access
CC BY 4.0 · J Neurol Surg A Cent Eur Neurosurg
DOI: 10.1055/a-2731-4781
Original Article

Radiological and surgical findings of patients with intradiploic mass lesion: Case series and systematic review

Autoren

  • Abdulkerim Gökoğlu 

    1   Neurosurgery, System Hospital, Kocasinan, Turkey
    2   Anatomy, Erciyes Universitesi, Talas, Turkey (Ringgold ID: RIN52958)

  • Hüseyin Yiğit

    3   Department of Medical Services and Techniques, Cappadocia University, Mustafapaşa, Turkey (Ringgold ID: RIN518002)

  • Merdan Orunoğlu

    4   neurosurgery, Kayseri City Education and Research Hospital, Kocasinan, Turkey (Ringgold ID: RIN147026)

  • Turgut Tursem Toprak

    5   Radiology, Kayseri City Education and Research Hospital, Kayseri, Turkey (Ringgold ID: RIN147026)

  • Ayca Ersen Danyeli

    6   Department of Pathology, Acibadem Universitesi Tip Fakultesi, Istanbul, Turkey (Ringgold ID: RIN385158)

  • Erdoğan Unur

    7   Anatomy, Erciyes University School of Medicine, Kayseri, Turkey (Ringgold ID: RIN64212)

  • AHMET SELCUKLU

    8   Neurosurgery, Erciyes Universitesi Tip Fakultesi, Kayseri, Turkey (Ringgold ID: RIN64212)
Weitere Informationen
Auch verfügbar auf
 als PDF herunterladen

BACKGROUND AND OBJECTIVES: In this study, our goal is to examine the radiological findings and clinical outcomes of nine patients with intradiploic masses, who were treated at our clinic, along with a comprehensive review of the existing literature. METHODS: The study includes a total of nine adult patients, who were under follow-up and treatment for intradiploic masses from 2015 to 2022. All patients included in the study provided signed informed consent forms. Exclusions from the study criteria comprised patients in the pediatric age group, those with a documented history of cancer, prior cranial surgery, active central nervous system infection, and acute head trauma resulting in cranial damage. RESULTS: Our study comprised a total of 9 patients, with 6 (66.6%) females and 3 (33.3%) males, with a median age of 36 years (range: 18-76). Epidermoid cysts were identified in 2 patients, while others presented with cavernous hemangioma, arachnoid/leptomeningeal cyst, intradiploic lipoma, dermoid cyst, arachnoid cyst, fibrous dysplasia, and eosinophilic granuloma. Among the cohort, 8 patients presented with headaches. The patient with cavernous hemangioma underwent total resection and mini plate stabilization. Similarly, total resection was performed in cases of leptomeningeal cyst (n=1) and intradiploic lipoma (n=1). In a single patient, fibrous dysplasia was diagnosed through open biopsy. For the patient with eosinophilic granuloma, total mass excision and chemotherapy were undertaken. Notably, four patients (44.4%), including those with epidermoid cysts (n=2), dermoid cyst (n=1), and arachnoid cyst (n=1), were managed conservatively without surgical intervention. CONCLUSIONS: The use of CT and MRI imaging in intradiploic lesions seems sufficient to differentiate the mass. However, it may be difficult to reach a definitive diagnosis in some patients without surgery. Therefore, based on the experience of clinical management, it is important to evaluate in detail the various radiological and clinical findings unique to the patient, regarding excision or nonoperative follow-up.



Publikationsverlauf

Eingereicht: 11. Oktober 2024

Angenommen nach Revision: 17. Oktober 2025

Accepted Manuscript online:
27. Oktober 2025

© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany