Abstract
Intracranial dermoids are rare slow-growing tumors. Generally, they are revealed after they reach a considerable volume, leading to the compression of neural structures. Exceptionally, these inclusion tumors can rupture spontaneously within the subarachnoid, intraventricular or subdural spaces. We present the case of a ruptured temporal dermoid cyst with intraventricular, subarachnoid and subdural spread, revealed by status epilepticus in a 25-year-old woman. The treatment of such tumors should be surgical, with the aim of a total removal when feasible. Recurrence of subtotally removed dermoids remains exceptional. The chemical irritation of the cortex but also the vasospasm induced by the fat droplets spread might induce seizures. doi:10.4021/jmc72w
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