Prasad G Lakshmi, Pavithra P
Department of Neurosurgery, Kasturba Medical College, Manipal University, Manipal, India.
Department of Pathology, Melaka Manipal Medical College, Manipal, India.
World Neurosurg. 2017 Feb;98:870.e1-870.e3. doi: 10.1016/j.wneu.2016.12.024. Epub 2016 Dec 18.
A 65-year-old female presented with progressive unilateral vision loss leading to blindness and features of central diabetes insipidus (DI) for 3 months' duration. Imaging showed a well-circumscribed, lobulated, rim-enhancing suprasellar lesion with inhomogeneous diffusion restriction. Through a pterional trans-sylvian approach, subtotal resection was performed and histopathology revealed features of an epidermoid cyst. At 5 months' follow-up, she had improvement of her diabetes insipidus but no visual improvement. This paper presents a case of suprasellar epidermoid with atypical imaging findings.
一名65岁女性，出现进行性单侧视力丧失并导致失明，同时伴有中枢性尿崩症症状，持续3个月。影像学检查显示鞍上有一个边界清晰、分叶状、边缘强化的病变，弥散受限不均匀。通过翼点经侧裂入路进行了次全切除，组织病理学显示为表皮样囊肿特征。随访5个月时，她的尿崩症有所改善，但视力没有改善。本文报告一例具有非典型影像学表现的鞍上表皮样囊肿病例。
