Case Of Intradiploic Epidermoid Cyst Research Articles

Dual Endoscopic Approach of Intradiploic Epidermoid Cyst of the Maxilla

Intradiploic epidermoid cysts are relatively rare tumors that arise between the 2 tables of cranial bones. We report a very rare case of intradiploic epidermoid cyst of the maxilla, which was managed through dual endoscopic approach. We recommend the dual endoscopic approach, maxillary anterior wall trephination, and middle meatal antrostomy for removal of intradiploic epidermoid cyst of the maxilla. The endoscopic approach through maxillary anterior wall trephination and middle meatal antrostomy allows for good visualization, removal of the intradiploic epidermoid cyst, prompt spontaneous drainage, avoidance of the damage of the nasolacrimal duct and inferior turbinate, and good cosmetic effect.

Posttraumatic Intradiploic Epidermoid Cyst of Frontal Bone

Intracranial epidermoid cysts constitute about 1% of all intracranial tumors. They are usually congenital in origin and are thought to derive from ectodermal cell inclusions occurring during closure of the neural tube. Twenty-five percent of these are found in the skull as intradiploic epidermoid cysts. These intradiploic cysts are usually congenital, slow growing, and can grow to large size without causing symptoms. We present a case of intradiploic epidermoid cyst of frontal bone developed due to childhood trauma. The cyst expanded and eroded the walls of the frontal sinus causing proptosis, diplopia, and restricted eye movements with frontal headache. The bicoronal flap approach was used for complete removal of the cyst. Complete removal of the cyst wall is necessary to avoid recurrence.

Kyste épidermoïde intradiploïque de l'os occipital

Background A rare case of intradiploic epidermoid cyst of the occipital bone is described and recent literature, which emphasizes the radiological evaluation and surgical treatment of this lesion is reviewed. Case description A 56-year-old female patient complained of headache and occasional episodes of vertigo for one year. Computed tomographic scan and magnetic resonance imaging were performed. The patient underwent occipital right craniotomy followed by total removal of the cyst and its capsule. Result The postoperative course was uneventful and the patient was discharged 4 days later. Conclusion A review of the literature shows that intradiploic epidermoid cyst of the occipital bone is rare. Correct radiological assessment and complete excision of this lesion and its capsule provides complete recovery.

Intradiploic epidermoid cyst with focal internal enhancement

We report a case of intradiploic epidermoid cyst with focal internal enhancement. The patient was a 55-year-old woman presenting with right temporal head protrusion and head heaviness. Skull radiography and computed tomography demonstrated an expansile mass in the right diploic space. On magnetic resonance imaging, the mass showed makedly high signal T2-weighted images (T2WI) and intermediate to low signal on T1WI. On contrast-enhanced T1WI, there was nodular internal enhancement, which corresponded to neovascularity on pathology, as well as rim-like enhancement. It should be noted that internal enhancement, an indicator of malignant transformation, may be seen even in a benign epidermoid cyst.