Mishra Manish Kumar, Yadav Vikrant, Pradhan Ravi Shekhar, Prasad Ravi Shankar
Department of Neurosurgery, Institute of Medical Sciences, Varanasi, U.P., India.
Asian J Neurosurg. 2023 Sep 22;18(3):631-635. doi: 10.1055/s-0043-1771325. eCollection 2023 Sep.
Intracranial dermoid cysts are rare dysembryonic tumors of benign nature. These are uncommon in adults. If present, they are usually located in the midline or along the lines of embryonic fusion. The posterior fossa region is an infrequent site. Extradural or interdural locations are even more rare. In this case report, the authors report a laterally located large posterior fossa right cerebellar convexity interdural and extradural dermoid cyst over the sigmoid sinus. It was managed by totally extradural maximum possible safe decompression with microneurosurgical technique. The authors share their experience of addressing this rare pathology at the rarest location with unusual imaging findings.
颅内皮样囊肿是罕见的良性胚胎发育异常性肿瘤。在成年人中并不常见。如果存在,它们通常位于中线或沿胚胎融合线分布。后颅窝区域是一个不常见的部位。硬膜外或硬膜间位置甚至更为罕见。在本病例报告中,作者报告了一例位于右侧小脑幕上凸面、横跨乙状窦的硬膜间及硬膜外的后颅窝外侧大型皮样囊肿。采用显微神经外科技术进行了尽可能安全的全硬膜外减压。作者分享了他们在这个最罕见位置处理这种罕见病理情况及异常影像学表现的经验。