Miyagi Y, Suzuki S O, Iwaki T, Ishido K, Araki T, Kamikaseda K
Department of Neurosurgery, Kaizuka Hospital, Japan.
J Neurosurg. 2000 Apr;92(4):711-4. doi: 10.3171/jns.2000.92.4.0711.
A 44-year-old man presented to the hospital with multiple intracranial epidermoid cysts. The clinical manifestations of his disease included chronic headaches and one seizurelike episode. Findings determined by magnetic resonance (MR) imaging, surgery, and histological analysis indicated intrathecal and intraventricular seeding of the cysts. Spontaneous (nontraumatic) seeding of multiple daughter cysts from intracranial epidermoid cysts is still very rare and their multiple appearances on MR imaging should be distinguished from the simple scattering of oily contents due to cyst rupture.
一名44岁男性因多发颅内表皮样囊肿入院。其疾病的临床表现包括慢性头痛和一次癫痫样发作。磁共振成像（MR）、手术及组织学分析结果显示囊肿存在鞘内及脑室内播散。颅内表皮样囊肿自发（非创伤性）播散形成多个子囊肿的情况仍然非常罕见，其在MR成像上的多个表现应与囊肿破裂导致的油性内容物单纯散落相鉴别。
