Posterior Fossa Dermoid Cysts With Special Reference to Intracranial Infection

Logue, Valentine; Till, Kenneth

doi:10.1136/jnnp.15.1.1

Cited by 99 publications

(53 citation statements)

References 6 publications

(3 reference statements)

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“…Une localisation dans le quatrième ventricule a été rapportée [11,15]. Logue et Till ont classé les KD de la FCP en quatre groupes selon qu'ils soient extraduraux ou intraduraux et selon le degré de développement de sinus cutané [13].…”

Section: Discussionunclassified

10.4314/ajns.v9i2.70407

2020

African Journal of Neurological Sciences

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Key words: RESUME ConclusionDans notre série, le KD de la fosse cérébrale postérieure est toujours associé à un sinus dermique et à une hydrocéphalie. La prise en charge repose sur l'exérèse chirurgicale et sur la dérivation du liquide cérébro-spinal. ABSTRACTDermoid cysts are rare lesions and represent 0,1 -0,7% of all intracranial tumors. We reported a serie of 3 cases of KD in the posterior fossa of the child by bringing to light the radio-clinical characteristics and forecast it discuttant the various therapeutic strategies.

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Section: Discussionunclassified

10.4314/ajns.v9i2.70407

2020

African Journal of Neurological Sciences

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“…In nine of their cases the intracranial extension of the sinus was in the posterior fossa, and in the other case there was an infected dermoid cyst in the frontal fossa. Logue and Till (1952) reviewed the literature and found 25 cases of posterior fossa dermoid cysts to which they added a further seven cases. Of these 32 cases, 22 had no dermal sinus or only an incom- plete sinus.…”

Section: Discussionmentioning

confidence: 99%

A Case of Intracranial Dermoid Cyst Associated with the Klippel-Feil Deformity and Recurrent Meningitis

Ap¹

1958

Archives of Disease in Childhood

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Intracranial dermoid cysts are rare: of 2,023 verified intracranial tumours recorded by Cushing (1932) there were 15 examples, including epidermoid cysts. In many cases there is an associated congenital dermal sinus. The following is presented as a typical case.Case Report D.H. is the second child of healthy parents, the elder child being normal. He was first referred to the Children's Hospital in July, 1954, at the age of 4 weeks because of diarrhoea and vomiting. This was thought to be dietetic in origin, and the only abnormal finding was the presence of the Klippel-Feil deformity, which was confirmed by radiological examination (Fig. 1).Ten months later he was admitted with acute bronchitis, and examination at that time revealed a small mobile lump in the occipital region. This was considered to be a fibroma.He then remained well for 15 months until August, 1956, when he was readmitted with a two-day history of refusal to eat, vomiting and drowsiness. He was extremely irritable and crying more than usual, especially if disturbed.On examination owing to his spinal deformity it was not possible to confirm any neck stiffness. There was no papilloedema.Lumbar puncture yielded a cloudy fluid containing 3,250 white cells per c.mm., most of which were polymorphonuclear. The protein content was 700 mg. %, the sugar 6 mg. % and the fluid was sterile on culture.A diagnosis of probable meningococcal meningitis was made: he was treated with penicillin and sulphadimidine and his progress was satisfactory.Soon after returning home vomiting recurred. He was crying continuously, banging his head and he was noticed to have photophobia. Two weeks later he was readmitted and on this occasion his cerebrospinal fluid contained 1,350 cells per c.mm., of which 75% were polymorphonuclear. The protein content was 60 mg. %, sugar 27 mg. %, and again the culture was sterile. No cause for the relapse of his meningitis was found and he was treated with a course of chloromycetin, and later given a course of tetracycline. Serial lumbar punctures showed a progressive improvement in his cerebrospinal fluid, and coincidently his general condition improved.Following discharge he remained well for a further seven months, when he was readmitted with a history of vomiting and crying for five days; on examination he had an upper respiratory tract infection, and the cerebrospinal fluid was found to be normal. He was discharged home but within a few days started vomiting. He again had photophobia, his mother thought he had been having FIG.

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“…Location in the fourth ventricle was reported [13, 14]. Logue and Till [15] classified posterior fossa dermoid cysts into four groups depending on whether they were extradural or intradural and on the degree of development of the dermal sinus. Dermoid cysts give rise to symptoms related to compression, infection, hydrocephalus or a combination of all this symptomatology usually in young children [4] as in our two observations.…”

Section: Discussionmentioning

confidence: 99%

Cerebellar Dermoid Cyst with Occipital Dermal Sinus

et al. 2006

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Intracranial dermoid cyst is a rare entity accounting for 0.1–0.7% of all intracranial tumors. The most common location is in the posterior fossa, at or near the midline. We present 2 pediatric cases with dermal sinus. The first case presented with clinical signs of increased intracranial pressure and cerebellar symptoms. CT scan showed a large and regular midline posterior fossa cyst without contrast enhancement. The second case was revealed by recurrent meningitis. CT scan showed a midline vermis low-density mass with capsular contrast enhancement. Dermal sinus was found in 2 cases. Complete surgical removal was performed followed, in a second operation, by ventriculoperitoneal shunt in 2 cases. There was no postoperative complication in our patients. The aim of this study is to discuss the clinical aspects of dermoid cyst, especially in cases with dermal sinus, and to review the therapeutic strategies in case of associated hydrocephalus.

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Posterior Fossa Dermoid Cysts With Special Reference to Intracranial Infection

Cited by 99 publications

References 6 publications

10.4314/ajns.v9i2.70407

10.4314/ajns.v9i2.70407

A Case of Intracranial Dermoid Cyst Associated with the Klippel-Feil Deformity and Recurrent Meningitis

Cerebellar Dermoid Cyst with Occipital Dermal Sinus

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