Haizel-Cobbina Joseline, Bakhshi Saqib K, Cools Michael, Liles Campbell, Dewan Michael C
Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Neurol India. 2025 Jul 1;73(4):770-775. doi: 10.4103/neurol-india.Neurol-India-D-24-00137. Epub 2025 Jul 24.
Intracranial dermoid cysts are usually asymptomatic and discovered incidentally. In children, intracranial dermoid cysts occurring beyond the confines of the posterior cranial fossa are rare. We present the first case of an unruptured pediatric foramen ovale dermoid cyst with 18 months of follow-up along with a systematic review of the literature on middle fossa dermoid cysts in children. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search was conducted to identify all cases of pediatric middle fossa dermoid cysts. Uponcomprehensive review of the literature, we found only nine cases of middle cranial fossa dermoid cysts in children. Gross total resection was achieved in seven cases commonly via a subtemporal or pterional approach. All patients were alive at the last follow-up. Surgical resection of middle fossa dermoid cysts can be safely performed in children while protecting neurologic function and achieving durable radiographic results.
颅内皮样囊肿通常无症状，多为偶然发现。在儿童中，发生在后颅窝范围之外的颅内皮样囊肿很少见。我们报告首例未破裂的小儿卵圆孔皮样囊肿病例，并进行了18个月的随访，同时对儿童中颅窝皮样囊肿的文献进行了系统综述。使用系统评价和Meta分析的首选报告项目（PRISMA）指南，进行文献检索以确定所有小儿中颅窝皮样囊肿病例。在全面回顾文献后，我们仅发现9例儿童中颅窝皮样囊肿。7例通常通过颞下或翼点入路实现了全切除。所有患者在最后一次随访时均存活。儿童中颅窝皮样囊肿的手术切除可以在保护神经功能并获得持久影像学效果的同时安全进行。
