Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?

Dermoid cysts are a very rare entity of intracranial tumours. The traumatic or non-traumatic rupture of the cyst wall is a serious complication that can be treated surgically or conservatively depending on the clinical symptoms. However, more common entities have to be considered as a differential...

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Main Authors: Dominik Heger, Fabian Scheer, Reimer Andresen
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/7702/18017_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PRO).pdf
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author Dominik Heger
Fabian Scheer
Reimer Andresen
author_facet Dominik Heger
Fabian Scheer
Reimer Andresen
author_sort Dominik Heger
collection DOAJ
description Dermoid cysts are a very rare entity of intracranial tumours. The traumatic or non-traumatic rupture of the cyst wall is a serious complication that can be treated surgically or conservatively depending on the clinical symptoms. However, more common entities have to be considered as a differential diagnosis. We report on a female patient who was admitted with complaints of significant, prolonged headache and diffuse pain. Analysis of her blood and cerebrospinal fluid indicated no clear pathology. A CT examination of the head revealed a ruptured dermoid cyst adjacent to the left sphenoidal bone. An additional MRI was conducted to confirm the CT findings and rule out an intracranial ischemia or vasospasms. A conservative therapy was scheduled and the patient recovered well. Using current imaging techniques, especially magnetic resonance imaging, it is possible to identify a ruptured dermoid cyst by its pathognomonic signal behavior and rule out potentially life threatening complications.
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spelling doaj.art-fed2d40cd8d14be4983365dc33584fcc2022-12-22T00:16:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-04-01104TD08TD0910.7860/JCDR/2016/18017.7702Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?Dominik Heger0Fabian Scheer1Reimer Andresen2Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westküstenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg, Germany.Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westküstenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg, Germany.Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westküstenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg, Germany.Dermoid cysts are a very rare entity of intracranial tumours. The traumatic or non-traumatic rupture of the cyst wall is a serious complication that can be treated surgically or conservatively depending on the clinical symptoms. However, more common entities have to be considered as a differential diagnosis. We report on a female patient who was admitted with complaints of significant, prolonged headache and diffuse pain. Analysis of her blood and cerebrospinal fluid indicated no clear pathology. A CT examination of the head revealed a ruptured dermoid cyst adjacent to the left sphenoidal bone. An additional MRI was conducted to confirm the CT findings and rule out an intracranial ischemia or vasospasms. A conservative therapy was scheduled and the patient recovered well. Using current imaging techniques, especially magnetic resonance imaging, it is possible to identify a ruptured dermoid cyst by its pathognomonic signal behavior and rule out potentially life threatening complications.https://jcdr.net/articles/PDF/7702/18017_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PRO).pdfcontrast enhancedctfat dropletsmri
spellingShingle Dominik Heger
Fabian Scheer
Reimer Andresen
Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
Journal of Clinical and Diagnostic Research
contrast enhanced
ct
fat droplets
mri
title Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
title_full Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
title_fullStr Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
title_full_unstemmed Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
title_short Ruptured, Intracranial Dermoid Cyst - A Visual Diagnosis?
title_sort ruptured intracranial dermoid cyst a visual diagnosis
topic contrast enhanced
ct
fat droplets
mri
url https://jcdr.net/articles/PDF/7702/18017_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PRO).pdf
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