CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1791570
Clinical Image

A Case of Giant Extracalvarial Epidermal Cyst with Intracranial Extension

Vishal Bhasme
1   Department of Neurosurgery, Ruby Hall Clinic, Pune, Maharashtra, India
,
Divya Jain
1   Department of Neurosurgery, Ruby Hall Clinic, Pune, Maharashtra, India
› Author Affiliations

Abstract

Extracalvarial epidermal cysts are benign, uncommon type of tumors. Their incidence is around 0.2 to 1%. They are usually asymptomatic except for the absurd swelling over the scalp, which is associated with headache and rarely neurological deficits. Proper radiological diagnosis with accurate surgical approach and excision with capsule gives a good prognosis and prevents recurrence. Here we present the case of a 75-year-old gentleman with a large swelling over the scalp with mild pain. Surgical excision of the tumor with capsule was done followed by cranioplasty. The histopathology was consistent with an epidermal cyst. Case reports pertaining to such conditions are few.



Publication History

Article published online:
10 October 2024

© 2024. 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/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Guridi J, Ollier J, Aguilera F. Giant intradiploic epidermoid tumor of the occipital bone: case report. Neurosurgery 1990; 27 (06) 978-980 , discussion 980–981
  • 2 Ciappetta P, Artico M, Salvati M, Raco A, Gagliardi FM. Intradiploic epidermoid cysts of the skull: report of 10 cases and review of the literature. Acta Neurochir (Wien) 1990; 102 (1–2): 33-37
  • 3 Wang B, Cheng H, Hong W. Study of intradiploic epidermal cyst in the right occipital bone. Int J Clin Exp Med 2019; 127: 9483-9486
  • 4 Muller J. Uber den feineren Bau und die Formen der krankhaften Geschwulste. Berlin: G. Reimer; 1838
  • 5 Kalgutkar A, Kini S, Jambhekar N, Das S. Intradiploic primary epithelial inclusion cyst of the skull. Ann Diagn Pathol 2006; 10 (01) 20-23
  • 6 Locatelli M, Alimehmeti R, Rampini P, Prada F. Intradiploic frontal epidermoid cyst in a patient with repeated head injuries: is there a causative relationship?. Acta Neurochir (Wien) 2006; 148 (10) 1107-1110 , discussion 1110
  • 7 Hoeffel C, Heldt N, Chelle C, Claudon M, Hoeffel JC. Malignant change in an intradiploic epidermoid cyst. Acta Neurol Belg 1997; 97 (01) 45-49
  • 8 Narlawar RS, Nagar A, Hira P, Raut AA. Intradiploic epidermoid cyst. J Postgrad Med 2002; 48 (03) 213-214
  • 9 Cho JH, Jung TY, Kim IY, Jung S, Kang SS, Kim SH. A giant intradiploic epidermoid cyst with perforation of the dura and brain parenchymal involvement. Clin Neurol Neurosurg 2007; 109 (04) 368-373
  • 10 Arana E, Latorre FF, Revert A. et al. Intradiploic epidermoid cysts. Neuroradiology 1996; 38 (04) 306-311
  • 11 Cushing H. A large epidermal cholesteatoma of the parieto temporal region deforming the left hemisphere without cerebral symptoms. Surg Gynecol Obstet 1992; 34: 557-566
  • 12 Bretschneider T, Dorenbeck U, Strotzer M, Roth M, Rümmele P, Buettner R. Squamous cell carcinoma arising in an intradiploic epidermoid cyst. Neuroradiology 1999; 41 (08) 570-572
  • 13 Sargent EW, Garcia P, Paniello RC, Spector GJ. Giant intradiploic epidermoid cyst of greater sphenoid wing causing unilateral proptosis and optic nerve compression. Skull Base Surg 1993; 3 (02) 55-59
  • 14 Krupp W, Heckert A, Holland H, Meixensberger J, Fritzsch D. Giant intradiploic epidermoid cyst with large osteolytic lesions of the skull: a case report. J Med Case Rep 2012; 6: 85