Sylvian fissure dermoid cyst with intratumoral hemorrhage: Case report
Journal
Clinical Neurology and Neurosurgery
Journal Volume
108
Journal Issue
1
Pages
63-66
Date Issued
2005
Author(s)
Abstract
It is rare for a dermoid cyst to develop intratumoral hemorrhage. A 61-year-old woman had a sudden-onset left hemiparesis and slow response to verbal requests for one week when unenhanced computed tomography scanning revealed a mixed iso- and hypo-dense heterogeneous lesion in the right fronto-temporal area. T1-weighted magnetic resonance imaging (MRI) of the brain showed a mixed hyper- and hypo-intense tumor in the right fronto-temporal area. The tumor became hyperintense on T2-weighted MRI and was faintly enhanced at tumor periphery on T1-weighted MRI. The tumor was excised and pathological examination revealed a dermoid cyst with intratumoral hemorrhage. The post-operative course was complicated by hemorrhage in the tumor bed, which was evacuated immediately. The patient improved and could walk without support two weeks after the second operation. After 1 year of follow-up, she was well and without neurological deficits. To the best of our knowledge after a literature review, only two previous cases of dermoid cyst have featured intratumoral hemorrhage. ? 2004 Elsevier B.V. All rights reserved.
Subjects
Intracranial dermoid cyst; Intratumoral hemorrhage
SDGs
Other Subjects
adult; article; brain hemorrhage; cancer surgery; case report; clinical feature; computer assisted tomography; female; follow up; frontotemporal dementia; human; nuclear magnetic resonance imaging; postoperative period; teratoma; Brain Stem Neoplasms; Cerebral Aqueduct; Dermoid Cyst; Female; Humans; Intracranial Hemorrhages; Middle Aged
Type
journal article