Lateral intraventricular epidermoid in a child with hydrocephalus

Aher, Rajendra B; Singh, Daljit; Singh, Hukum; Rk, Saran

doi:10.4103/1817-1745.106481

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…They can present with non‐specific symptoms like headache, cognitive deficit or psychiatric symptoms. The tumours reported have a connection with median or paramedian structures and thus is a plausible explanation that these lesions commence from quadrigeminal cisterns 15 . (Fig.…”

Section: Lateral Ventricle Epidermoidmentioning

confidence: 89%

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Spectrum of intracranial and spinal epidermoids including unusual locations and imaging findings: A pictorial review

et al. 2022

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Intracranial and spinal epidermoids are benign slow-growing congenital lesions. They are predominantly intradural, extra-axial in location, with intraaxial locations (intra-parenchymal and spinal intramedullary) being rare. The most common locations of intradural epidermoids are cerebellopontine angle cistern followed by supra-and para-sellar regions, and fourth ventricle. Less common locations include inter-hemispheric fissure, sylvian fissure, lateral ventricle, intracerebral, velum interpositum cistern, superior cerebellar cistern and pineal gland. They can also be extradural, usually arising in the diploic space of the calvaria, though they are less common. Magnetic resonance imaging is the primary modality for diagnosis and knowing the extent of the lesion. In this pictorial review, we intend to illustrate their classical and unusual locations, atypical imaging findings including calcifications, rare complications like haemorrhage or spontaneous rupture.

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Section: Lateral Ventricle Epidermoidmentioning

confidence: 89%

“…The tumours reported have a connection with median or paramedian structures and thus is a plausible explanation that these lesions commence from quadrigeminal cisterns. 15 (Fig. 10).…”

Section: Lateral Ventricle Epidermoidmentioning

confidence: 99%

Spectrum of intracranial and spinal epidermoids including unusual locations and imaging findings: A pictorial review

et al. 2022

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“…Intraventricular epidermoid’s pathogenesis is uncertain. However, a direct relation is thought to exist with the development of choroidal vessels which is an explanation of the lateral migration through the choroidal fissure and subsequent entrapment of neuroepithelial cells [ 4 ]. There is an association between median/paramedian structures and the tumors reported.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who have this type of lesion are usually in their fifties or sixties [ 4 ]. However, our case was 43 years old and this shows that although they grow slowly, these types of lesions can also be seen in the fourth decade of life.…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Headache in the Emergency Department: Intraventricular Epidermoid Cyst Rupture With Hydrocephalus

et al. 2016

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Intracranial epidermoid cysts: benign entities with malignant behavior: experience with 36 cases

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Klimko

et al. 2023

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Intracranial epidermoid cysts are benign slow-growing ectodermal inclusions that account for less than 1% of all intracranial tumors. We retrospectively reviewed 36 such cases to evaluate the demographic characteristics, clinical manifestations, anatomical distribution, surgical management, and treatment outcome of these tumors. Additionally, we sought to identify the relationship between median or paramedian cistern tumor localization and clinical parameters, such as recurrence risk, hospitalization duration, and postoperative complication rates. The most frequently observed neurological symptoms were transient headaches (77.8%), dizziness (36.1%), CN VII palsy (19.4%), CN VIII hearing difficulty (19.4%) and cerebellar signs (19.4%). The most common surgical approaches included retrosigmoid (36.1%), subfrontal (19.4%) and telovelar (19.4%) approaches; gross total resection was feasible in 83.3% of cases. The postoperative complication rate was 38.9%. Tumors were more frequently found in the paramedian cisterns (47.2%), followed by the median line cisterns (41.6%). Multivariate analysis revealed that postoperative hydrocephalus and age < 40 years were prognostic factors for tumor recurrence. Median-like tumor location was a risk factor for the presence of symptomatic hydrocephalus both preoperatively and postoperatively, increasing the likelihood of protracted hospitalization (> 10 days). Despite their benign histopathological nature, these tumors have an important clinical resonance, with a high rate of postoperative complications and a degree of recurrence amplified by younger age and hydrocephalus.

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Lateral intraventricular epidermoid in a child with hydrocephalus

Cited by 5 publications

References 4 publications

Spectrum of intracranial and spinal epidermoids including unusual locations and imaging findings: A pictorial review

Spectrum of intracranial and spinal epidermoids including unusual locations and imaging findings: A pictorial review

A Rare Cause of Headache in the Emergency Department: Intraventricular Epidermoid Cyst Rupture With Hydrocephalus

Intracranial epidermoid cysts: benign entities with malignant behavior: experience with 36 cases

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