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J Neurol Surg Rep 2014; 75(01): e33-e37
DOI: 10.1055/s-0033-1358795
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Dermoid Cyst of the Infratemporal Fossa: Case Report and Review of the Literature

Thomas M. Triplett
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Adam Griffith
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Kimmo J. Hatanpaa
2   Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Samuel L. Barnett
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
› Author Affiliations
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Publication History

08 May 2013

03 September 2013

Publication Date:
12 December 2013 (online)

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Abstract

Background Intracranial dermoid cysts are rare tumors of congenital origin. We report a case of a large dermoid tumor arising in the infratemporal fossa (ITF) with erosion into the middle cranial fossa. After reviewing the literature, we believe this represents the first reported dermoid tumor of the ITF with extension into the middle cranial fossa.

Results A 21-year-old women presented with a large cystic mass involving the left infratemporal fossa and middle cranial fossa that was discovered following a motor vehicle collision. Neurologic examination was normal. The mass was resected through a frontotemporal extradural approach with endoscopic assistance. Imaging studies, gross findings, and histopathology were consistent with a dermoid tumor.

Conclusion This is the first report of a dermoid cyst arising in the ITF with extension into the middle cranial fossa. We suggest including dermoid tumor in the differential diagnosis of cystic abnormalities in this region. Complete resection of the cyst remains the preferred treatment with surgical approach guided by preoperative imaging.

Keywords

dermoid - cyst - infratemporal - middle fossa
 

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