Gader Ghassen, Hdhili Houssem, Mansour Wiem, Ali Kerima Belhadj, Badri Mohamed, Zammel Ihsèn
Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
University of Tunis-El Manar, Faculty of Medicine of Tunis, Tunisia.
Radiol Case Rep. 2025 Apr 16;20(7):3319-3322. doi: 10.1016/j.radcr.2025.03.046. eCollection 2025 Jul.
Epidermoid cysts, originating from ectopic embryonic epithelial cells, are a common type of benign intracranial tumor. However, intraventricular epidermoid cysts are rare, with those occupying the lateral ventricles being exceptionally uncommon. This report details the case of a 59-year-old male presenting with recurrent headaches over an 8-month period, accompanied by behavioral changes, memory impairment, and seizures. Magnetic resonance imaging of the brain revealed a large intraventricular mass consistent with an epidermoid cyst. The patient underwent subtotal resection via a transfrontal transventricular approach, resulting in good postoperative recovery.
表皮样囊肿起源于异位胚胎上皮细胞,是一种常见的颅内良性肿瘤。然而,脑室内表皮样囊肿较为罕见,而位于侧脑室的此类囊肿则尤为少见。本报告详细介绍了一名59岁男性患者的病例,该患者在8个月内反复出现头痛,并伴有行为改变、记忆障碍和癫痫发作。脑部磁共振成像显示脑室内有一个较大的肿块,符合表皮样囊肿的表现。患者通过经额经脑室入路接受了次全切除术,术后恢复良好。