Urculo E, Arrazola M
Section de Neurochirurgie, Hôpital de Guipuzcoa, San Sebastian, Espagne.
Neurochirurgie. 1992;38(5):304-8.
Epidermoid cysts are most commonly located in the cerebellopontine angle and the parasellar regions. The authors report a case of an epidermoid cyst of unusual location: it arises in the midline and involves the body of the corpus callosum with interhemispheric exophytic growth. Reviewing the literature they did not find any similar report. C.T. scan and M.R.I. are the methods of choice for establishing the diagnosis and differentiating between epidermoid cyst, dermoid cyst, lipoma and arachnoid cyst. M.R.I. is highly sensitive and is especially useful in determining tumour extension, particularly in the sagittal and coronal planes, essential for surgical treatment planning. Treatment should be complete surgical resection in order to avoid recurrence and chemical meningitis.
表皮样囊肿最常见于桥小脑角和鞍旁区域。作者报告了一例位置不寻常的表皮样囊肿病例:它起源于中线,累及胼胝体,并向半球间外生性生长。查阅文献后,他们未发现任何类似报告。计算机断层扫描(CT)和磁共振成像(MRI)是用于确诊以及鉴别表皮样囊肿、皮样囊肿、脂肪瘤和蛛网膜囊肿的首选方法。MRI高度敏感,对于确定肿瘤范围特别有用,尤其是在矢状面和冠状面,这对于手术治疗规划至关重要。治疗应进行完整的手术切除,以避免复发和化学性脑膜炎。