Intracranial enterogenous cyst is an uncommon entity. We report a case of enterogenous cyst of the posterior fossa situated posterolateral to the brain stem and extending into the left CP angle cistern. Patient had spontaneous regression and recurrence of the cyst. Clinical features and radiological findings are described. Near total excision of the cyst was carried out through the retro mastoid route. Patient made a good postoperative recovery.

Van der Woude Syndrome is the most common form of syndromic orofacial clefting, accounting for 2% of all cases, and has the phenotype that most closely resembles the more common non-syndromic forms. The syndrome has an autosomal dominant hereditary pattern with variable expressivity and a high degree of penetrance with cardinal clinical features of lip pits with a cleft lip, cleft palate, or both. This case report describes van der Woude syndrome in a 19 year old male patient with a specific reference to the various aspects of this condition, as clinical appearance, etiological factors (genetic aspects), differential diagnosis, investigative procedures and management. Key words:Cleft palate, cleft lip, lip pits, van der Woude syndrome, syndromic clefting.

BACKGROUNDSeizures are the most common Paediatric neurological disorder with worldwide prevalence of 10.5 million children under 15 years have active seizures. The role of neuroimaging in children presenting with first non-febrile seizure is still not well-defined. The American Academy of Neurology states that these evidences are not sufficient to make a commendation at the level of guideline for the use of routine neuroimaging in children with a new-onset seizure. But in developing countries like India, where the incidence of CNS infections like neurocysticercosis and tuberculoma are common the data is insufficient about role of neuroimaging.

Dermoid cyst of the spermatic cord is a very rare clinical entity with only 6 cases reported in the literature so far. We describe an extremely rare case of a large dermoid cyst of the right spermatic cord measuring 6cm x 5cm x 5cm in an elderly patient who approached us with clinical manifestations of an incarcerated inguinal hernia. We advocate the treatment option is complete surgical excision of the dermoid cyst of the spermatic cord with mesh repairs. The use of polypropylene mesh, in emergency inguinal hernia repairs, associated with dermoid cyst is safe as it does not increase the rate of mesh infection.

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