Congenital dermoid inclusion cyst over the anterior fontanel: report of three cases

Aquino, Humberto Belém de; Miranda, Carla Ceres Villas de; Filho, Cyro Alves de Britto; Carelli, Edmur Franco; Borges, Guilherme

doi:10.1590/s0004-282x2003000300022

Cited by 21 publications

(26 citation statements)

References 27 publications

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“…This lesion is benign and easily and effectively treated by surgical intervention. The surgery prevents a subsequent infection, confirms the diagnosis, and allows a more aesthetically pleasant result to the patient 22 . …”

Section: Discussionmentioning

confidence: 62%

Dermoid cyst of the anterior fontanelle in adults: case report

Castro¹,

Filho²,

Silva³

2007

Arq. Neuro-Psiquiatr.

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-Head and neck dermoid cysts are lesions relatively rare, which usually occur during childhood as solitary lesions. They are often identified and surgically removed at birth, being uncommon in adults. A 23-year-old male presented with a congenital tumor of the anterior fontanelle, which histopathological examination revealed a dermoid cyst. Surgical intervention is the treatment of choice to remove this lesion. The objective of this study is to report the case, once this type of lesion is rare in adults.KEY WORDS: dermoid cyst, epidermoid cyst, anterior fontanelle, adult.Cisto dermóide na fontanela anterior de adulto: relato de caso RESUMO -Cistos dermóides de cabeça e pescoço são relativamente raros e, usualmente, ocorrem na infân-cia como lesões solitárias. Eles são diagnosticados e operados ao nascer, na maioria dos casos; portanto, essa é uma lesão incomum no adulto. Um homem de 23 anos apresentava tumoração congênita na fontanela anterior, cujo exame histopatológico revelou ser cisto dermóide. Foi submetido a tratamento cirúrgico. O objetivo desse estudo é relatar o caso, uma vez tratar-se de condição rara no adulto. PALAVRAS-CHAVE: cisto dermóide, cisto epidermóide, fontanela anterior, adulto.Head and neck dermoid cysts are relatively rare, and usually occur during childhood as solitary lesions 1 . The cysts over the anterior fontanelle represent about 0.1% of all skull tumors and they are identified and surgically removed at an early age. Therefore, this pathology is rarely observed in adulthood. In order to correctly identify these lesions, diagnostic imaging such as simple X-rays and computer tomography (CT) scan are necessary, besides physical evaluation 2 .We report a case of dermoid cyst over the anterior fontanelle in an adult patient. CASEA 23-year-old man seeked medical help at the Neurology department of Instituto Doutor Jose Frota hospital with a mass over the anterior fontanelle, diagnosed as congenital, which increased in size over the years since the birth (Fig 1). The patient did not show neurological symptoms. The CT scan of the skull demonstrated extracranial lesion with cystical appearance, without intracranial communication (Fig 2). During the excision of the lesion, it was observed a cyst containing a viscous, odorless, and greencolored liquid, with hair (Fig 3). The bacterioscopy of this liquid was negative. The cyst was removed together with its walls, the excess of scalp was ressected, and the skull was properly covered with the patient's skin maintaining the natural hair line. A skull depression underneath the lesion could be observed. A drain with continuous suction was positioned and removed after two days containing a serum-bloody secretion. The histopathological exam of the lesion revealed dermoid cyst. There were no surgical intercurrencies, and the patient recovered without complaints and very satisfacted with the functional and aesthetical results. DISCUSSIONAdeloye and Odeku 3 were the first authors to publish a complete description of the dermoid cyst. The congenit...

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Section: Discussionmentioning

confidence: 62%

Dermoid cyst of the anterior fontanelle in adults: case report

Castro¹,

Filho²,

Silva³

2007

Arq. Neuro-Psiquiatr.

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“…In the present report we had one male and one female child. The size of the lesion has been associated with the age of the patient as a general rule in some reports (18) Histopathology always confirms the diagnosis (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). In both cases the diagnosis was clenched by histopathology.…”

Section: Discussionmentioning

confidence: 89%

“…The Adeloye-Odeku disease (1) has been described by various terms (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). A pubmed literature review was carried out with the 6 commonest phrases outlined below and a total of 20 reports (of which 2 were epidermoids and were omitted from the review) were identified in literature: dermoid cyst over anterior fontanelle (1,3,10,11,12,16,17,20) (8 reports Congenital inclusion cysts over the anterior fontanel (6,7,14,15,19) (6 reports), Congenital inclusion cyst of the subgaleal space (2,4,5,7,9) (4 reports), congenital bregmatic cysts (bregmatic inclusion cysts / bregmatic dermoid cysts) (one report) (18).…”

Section: Discussionmentioning

confidence: 99%

“…It was first described by Adeloye and Odeku from Nigeria in 1971 (1) and was considered a disease of African children. Subsequent reports, in various races, have appeared from across the globe (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). There are only three documented cases in two reports of Indian origin in the English literature (18,14).…”

Section: Adeloye-odeku Disease: An African Disease In the Indian Child?mentioning

confidence: 99%

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Adeloye-odeku disease: an african disease in the indian child?

Dadlani

Furtado²,

Ghosal³

et al. 2010

Turkish Neurosurgery

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The "Adeloye-Odeku disease" or congenital dermoid cysts over the anterior fontanelle, is a rare congenital disorder of children initially described in Nigeria. It has been rarely reported in the Indian population (3 cases in 2 reports). These rare lesions are operated on by neurosurgeons in view of their location and differential diagnoses. We present two infants with the condition and a comprehensive review of the literature on pubmed using six common phrases used to describe this condition. The review was undertaken to analyze the reasons for the paucity of cases from the Indian sub-continent. The ethnicity, differential diagnosis, radiological features and management is discussed.KeywoRds: Adeloye-Odeku's disease, Dermoid cyst, Anterior fontanelle, Pediatric ÖZ "Adeloye-Odeku hastalığı" veya anterior fontanel üzerinde konjenital dermoid kistler ilk olarak Nijerya'da tanımlanmış nadir bir çocuk çağı konjenital hastalıktır. Hint popülasyonunda nadiren bildirilmiştir (2 sunumda 3 vaka). Bu nadir lezyonlar konumları ve ayırıcı tanıları nedeniyle beyin cerrahları tarafından ameliyat edilir. Bu durumun görüldüğü iki vakayı ve bu durumu tanımlamak üzere sık kullanılan altı sözcük kullanılarak pubmed literatürünün kapsamlı bir taramasının sonuçları sunuyoruz. Derleme hint alt kıtasında vakaların azlığının nedenlerini analiz etmek için yapıldı. Etnik köken, ayırıcı tanı, radyolojik özellikler ve takip anlatılmaktadır.

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“…There is no communication between the cyst and the intracranial cavity. [2] A dermoid cyst is the most common lesion found around the anterior fontanel. [3] However, CDIC of the anterior fontanel is a rare lesion accounting for 0.2% of all inclusion cysts[4] and 0.1–0.5% of all cranial tumors.…”

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confidence: 99%