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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2021; 82(01): e6-e10
DOI: 10.1055/s-0041-1726286
Case Report

Hemorrhagic Epidermoid Cyst in Cerebellar Vermis: Case Report and Review of the Literature

Ján Kozák
1   Department of Neurosurgery, Faculty of Medicine Comenius University and University Hospital Bratislava, Slovakia
,
Jozef Šurkala
1   Department of Neurosurgery, Faculty of Medicine Comenius University and University Hospital Bratislava, Slovakia
,
Martin Novotný
1   Department of Neurosurgery, Faculty of Medicine Comenius University and University Hospital Bratislava, Slovakia
,
Marián Švajdler
2   Biopticka Laborator s.r.o., Pilsen, Czech Republic
3   Šikl's Department of Pathology, Charles University, Faculty of Medicine and Faculty Hospital in Pilsen, Pilsen, Czech Republic
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Abstract

Intracranial epidermoid cysts are slow growing congenital avascular neoplasms that spread across the basal surface of the brain. They most commonly occur in the paramedial region in the cerebellopontine angle and the parasellar region. Despite its generally benign nature, sporadically they can be accompanied with hemorrhage or very rarely undergo malignant transformation. The authors present a case report of a patient with a hemorrhagic vermian epidermoid cyst and a review of all published similar cases.

Keywords

epidermoid cyst - hemorrhagic epidermoid cyst - vermian epidermoid cyst - midline posterior fossa


Publication History

Received: 15 February 2020

Accepted: 28 October 2020

Article published online:
31 March 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Yaşargil MG, Abernathey CD, Sarioglu AC. Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 1989; 24 (04) 561-567
    CrossrefPubMedGoogle Scholar
  • 2 Balogun JA, Adeleke NA, Salami AO, Odebode TO. Cerebellar vermian epidermoid tumor: a report of two cases. World Neurosurg 2018; 112: 153-157
    CrossrefPubMedGoogle Scholar
  • 3 Singh N, Symons SP, Montanera W. et al. Hemorrhagic epidermoid cyst in a patient with generalized tonic clonic seizure. J Clin Neurosci 2013; 20 (05) 750-752
    CrossrefPubMedGoogle Scholar
  • 4 Li F, Zhu S, Liu Y, Chen G, Chi L, Qu F. Hyperdense intracranial epidermoid cysts: a study of 15 cases. Acta Neurochir (Wien) 2007; 149 (01) 31-39 , discussion 39
    CrossrefPubMedGoogle Scholar
  • 5 Ren X, Lin S, Wang Z. et al. Clinical, radiological, and pathological features of 24 atypical intracranial epidermoid cysts. J Neurosurg 2012; 116 (03) 611-621
    CrossrefPubMedGoogle Scholar
  • 6 Gupta S, Vaishya ND, Senger RL. Hyperdense intracranial epidermoid: an uncommon presentation. Neurol India 2000; 48 (02) 158-160
    PubMedGoogle Scholar
  • 7 Chen CY, Wong JS, Hsieh SC, Chu JS, Chan WP. Intracranial epidermoid cyst with hemorrhage: MR imaging findings. AJNR Am J Neuroradiol 2006; 27 (02) 427-429
    PubMedGoogle Scholar
  • 8 Greenberg MS. Handbook of Neurosurgery. 8th ed.. New York: Thieme; 2016: 756-765
    CrossrefGoogle Scholar
  • 9 Tao CY, Wei P, Wang JJ, You C. Hemorrhagic epidermoid cyst in cerebellar vermis. Turk Neurosurg 2015; 25 (05) 828-830
    PubMedGoogle Scholar
  • 10 Gadgil N, Humphries III WE, Clay Goodman J, Gopinath SP. Hemorrhagic intradiploic epidermoid cyst. Clin Neurol Neurosurg 2013; 115 (12) 2549-2551
    CrossrefPubMedGoogle Scholar
  • 11 Hsieh CH, Huang KM, Kao MC, Peng S, Wang CC. Hemorrhage in intracranial epidermoid cyst. J Formos Med Assoc 1996; 95 (02) 173-175
    PubMedGoogle Scholar
  • 12 Tsurushima H, Kamezaki T, Tomono Y, Nose T. Intracranial epidermoid cyst including elements of old hematoma. Neurol Med Chir (Tokyo) 1997; 37 (11) 861-864
    CrossrefPubMedGoogle Scholar
  • 13 Hasegawa H, Bitoh S, Nakata M, Fujiwara M, Yasuda H. Intracranial epidermoid mimicking meningioma. Surg Neurol 1981; 15 (05) 372-374
    CrossrefPubMedGoogle Scholar
  • 14 Roh TH, Park YS, Park YG, Kim SH, Chang JH. Intracranial squamous cell carcinoma arising in a cerebellopontine angle epidermoid cyst: a case report and literature review. Medicine (Baltimore) 2017; 96 (51) e9423
    CrossrefPubMedGoogle Scholar
  • 15 Kokkalis P, Chamilos C, Sgouros S. Epidermoid cyst of the fourth ventricle in a child. Childs Nerv Syst 2018; 34 (01) 29-30
    CrossrefPubMedGoogle Scholar
  • 16 Cuoco JA, Rogers CM, Busch CM, Apfel LS, Entwistle JJ, Marvin EA. Intracranial squamous cell carcinoma arising from a cerebellopontine angle epidermoid cyst remnant four decades after partial resection. Front Oncol 2019; 9: 694
    CrossrefPubMedGoogle Scholar
  • 17 Muto J, Yoshida K, Momoshima S, Kazuno M, Kazuno T. Intracranial epidermoid tumor with changes in signal intensity on magnetic resonance imaging because of non-hemorrhagic pathology: case report. Neurol Med Chir (Tokyo) 2010; 50 (10) 936-938
    CrossrefPubMedGoogle Scholar