Dermoid Cyst in the Anterior Fontanel: Case Report

Introduction: Dermoid cysts in the anterior fontanel are rare lesions, problems around 0.1–0.5% of all cranial tumors. It originated during the early stages of development and derived from embryonic epithelial tissue located along the midline. CT and NMR studies are of choice to rule out intracranial extension. They are diagnosed and treated with surgery in childhood. In this article, a review of the literature on this pathology is performed and a clinical case is reported in order to show the results of imaging studies in the Dermoid Cyst in childhood. Case Presentation: Four-month-old female infant with Dermoid Cyst in the Anterior Fontanelle, without neurological compromise who was once a surgery. The surgical piece affected uniform, encapsulated, mobile, soft lesion with clear content. The obstetric history, clinical data, physical examination, imaging and histopathological studies confirmed the diagnosis of Dermoid Cyst, the patient’s postoperative evolution is satisfactory, currently undergoing follow-up by Neuropediatrics. Conclusion: in simple pediatric patients with Dermoid Cyst in the anterior Fontanelle, simple Computerized Axial Skull Tomography is very useful for its diagnosis, as well as the performance of surgical treatment and postoperative follow- up for a favorable evolution and better prognosis. Keywords: dermoid cyst, anterior fontanelle, congenital inclusion cyst, case report. RESUMEN Introducción: La frecuencia de presentación del Quiste Dermoide en fontanela anterior es muy baja y se desarrollan en la etapa embrionaria de la vida en la que el tejido embrionario de la línea media dá lugar a su formación. Los estudios de TAC y RMN son de elección para descartar la extensión intracraneal. Se diagnostican y tratan con cirugía en la niñez. En este artículo se realiza una revisión de la literatura sobre esta patología y se relata un caso clínico con el objetivo de mostrar los resultados de estudios imagenológicos en el Quiste Dermoide en la infancia. Presentación de Caso: Lactante femenina de cuatro meses con Quiste Dermoide de la fontanela anterior sin complicaciones fue intervenida quirúrgicamente. Se realizó excéresis de lesión blanda, encapsulada y movible. Los antecedentes obstétricos, datos clínicos, examen físico, estudios imagenológicos e histopatológico confirmaron el diagnóstico de Quiste tipo Dermoide, la evolución posoperatoria de la paciente es satisfactoria, actualmente en seguimiento por Neuropediatría. Conclusiones: En pacientes pediátricos con Quiste Dermoide en la Fontanela anterior es de gran utilidad la Tomografía Axial Computarizada simple de Cráneo para su diagnóstico, así como, la realización de un tratamiento quirúrgico y el seguimiento postoperatorio para una favorable evolución y mejor pronóstico. Palabras clave: quiste dermoide, fontanela anterior, quiste de inclusión congénita, informe de caso.

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Congenital Subgaleal (Epidermoid) Inclusion Cyst of the Anterior Fontanel in a Mexican Female Child: Case Report

Neurosurgery ◽

10.1227/00006123-198304000-00014 ◽

1983 ◽

Vol 12 (4) ◽

pp. 451-453 ◽

Cited By ~ 7

Author(s):

Román Garza-Mercado ◽

Dagoberto Tamez-Montes

Keyword(s):

Case Report ◽

Epidermoid Cyst ◽

Female Child ◽

Hair Follicles ◽

Sweat Glands ◽

Intracranial Extension ◽

Radical Excision ◽

Anterior Fontanel ◽

Inclusion Cyst ◽

Epidermoid Inclusion Cyst

Abstract A 30-month-old Mexican girl with an inclusion subgaleal cyst located over the anterior fontanel is described. This is the first such case ever diagnosed at our institution and, we believe, the first reported from Mexico. Radical excision of the lesion was accomplished. The internal table of the skull was eroded, but no intracranial extension was noticed. As the cyst contained no hair follicles nor any sebaceous or sweat glands, it was histologically classified as an epidermoid cyst. This is another example of such a lesion in an infant of non-African descent.

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Dermoid cyst of the anterior fontanelle in adults: case report

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2007000100036 ◽

2007 ◽

Vol 65 (1) ◽

pp. 170-172 ◽

Cited By ~ 3

Author(s):

Ricardo Antônio Gênova de Castro ◽

Afonso de Souza Ribeiro Filho ◽

Valderi Vieira da Silva Jr.

Keyword(s):

Case Report ◽

Head And Neck ◽

Dermoid Cyst ◽

Surgical Intervention ◽

Histopathological Examination ◽

Anterior Fontanelle ◽

Congenital Tumor

Head and neck dermoid cysts are lesions relatively rare, which usually occur during childhood as solitary lesions. They are often identified and surgically removed at birth, being uncommon in adults. A 23-year-old male presented with a congenital tumor of the anterior fontanelle, which histopathological examination revealed a dermoid cyst. Surgical intervention is the treatment of choice to remove this lesion. The objective of this study is to report the case, once this type of lesion is rare in adults.

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Aplasia Cutis Congenita: A Case Report

Case Reports in Dermatology ◽

10.1159/000490786 ◽

2018 ◽

Vol 10 (2) ◽

pp. 182-186 ◽

Cited By ~ 4

Author(s):

Tahani Magliah ◽

Faiza Alghamdi

Keyword(s):

Case Report ◽

Positive Family History ◽

Rare Condition ◽

Medical Intervention ◽

Intracranial Extension ◽

Congenital Defects ◽

Anterior Fontanel ◽

Aplasia Cutis Congenita ◽

Scalp Lesion ◽

Aplasia Cutis

Background: Aplasia cutis congenita is characterized by congenital focal absence of skin in a newborn. Case Report: A 45-day-old boy presented to the outpatient clinic of dermatology at King Abdul Aziz Medical City, Jeddah, Saudi Arabia, with a flat scalp lesion on the space of the anterior fontanel. There was a positive family history of such condition in his older brother’s scalp, which resolved spontaneously within 3 weeks after labor, without any medical intervention. There were no associated hemangiomata or other congenital defects in his body. The case was admitted to the hospital. Ultrasound of the head showed bullae over the anterior fontanel, well-defined complex cyst, and an isolated subcutaneous lesion, with no evidence of intracranial extension. The baby was started on intravenous infusion of vancomycin (67 mg in dextrose 5% in water) for 3 days, but no improvement occurred to the scalp cyst. The baby started to receive 15 g of 2% mupirocin ointment, topically three times daily. After 2 days, the scalp cyst gradually decreased in size and became dry within 1 week. Follow-up after 3 months showed that the scalp lesion completely healed, leaving a very small atrophic scar and no further management of the lesion was needed. Conclusions: Aplasia cutis congenita is a rare condition of uncertain etiology, but consanguinity may play a role. Its management depends on its pattern, location, underlying causes, and associated anomalies.

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Recurrence, with intracranial extension, of an intraorbital hydatid cyst: A clinical follow-up case report

Orbit ◽

10.3109/01676838409028655 ◽

1984 ◽

Vol 3 (1) ◽

pp. 59-65

Author(s):

Giorgio Iraci ◽

Laura Tomazzolp ◽

Daniele L. Fiore ◽

Massimo A. Gerosa ◽

Luigi Peserico

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Intracranial Extension

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Congenital inclusion dermoid cyst of the anterior fontanel

Journal of Neurosurgery ◽

10.3171/jns.1978.48.2.0274 ◽

1978 ◽

Vol 48 (2) ◽

pp. 274-278 ◽

Cited By ~ 36

Author(s):

Franz E. Glasauer ◽

Laurence F. Levy ◽

William C. Auchterlonie

Keyword(s):

Dermoid Cyst ◽

Cystic Mass ◽

Intracranial Extension ◽

Anterior Fontanel ◽

Content Type ◽

X Ray ◽

Unusual Type ◽

Fine Print

✓ An unusual type of dermoid cyst is reported in 10 African infants. In these cases a soft, cystic mass located over the anterior fontanel was noted shortly after birth and gradually enlarged. The cyst had no intracranial extension and was easily excised intact. The clinical and x-ray findings of the cyst are described and compared with the usual dermoids. The histology and the contents of the cyst are detailed and some peculiarities of this lesion pointed out.

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Transient bulging fontanelle following rotavirus vaccination: A case report

Nigerian Journal of Paediatrics ◽

10.4314/njp.v48i1.11 ◽

2021 ◽

Vol 48 (1) ◽

pp. 54-56

Author(s):

Chinedu M. Dike ◽

Bashir O. Oyeyemi

Keyword(s):

Case Report ◽

Male Infant ◽

Medical Intervention ◽

Rotavirus Vaccine ◽

Anterior Fontanelle ◽

Healthy Male ◽

Rotavirus Vaccination ◽

Essentially Normal ◽

Adverse Event Following Immunization

Transient bulging fontanelle is a self-limiting clinical condition characterized by a bulging fontanelle with or without fever, which resolves without medical intervention. It is a relatively uncommon adverse event following immunization. We report a case of an 11 week old, otherwise healthy male infant who presented with a bulging, nontense anterior fontanelle without fever, which developed 11 hours after receiving rotavirus vaccine. Transfontanelle ultrasound scan findings were essentially normal. Two days later, the bulging anterior fontanelle resolved spontaneously. The child had normal neurological development and achieved corresponding developmental milestones over the subsequent eight months of follow-up. This case report highlights the importance of immunization history in the otherwise healthy infant who presents with bulging fontanelle. We recommend that in an otherwise well recently vaccinated infant that presents with bulging anterior fontanelle, lumbar puncture should be deferred while the infant is closely monitored.

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Congenital inclusion dermoid cyst located over the region of the anterior fontanel in adult Nigerians

Journal of Neurosurgery ◽

10.3171/jns.1980.52.5.0724 ◽

1980 ◽

Vol 52 (5) ◽

pp. 724-727 ◽

Cited By ~ 19

Author(s):

Nosiru A. Ojikutu ◽

Victor P. N. Mordi

Keyword(s):

Dermoid Cyst ◽

Cystic Lesion ◽

Adult Life ◽

Surgical Excision ◽

Intracranial Extension ◽

Anterior Fontanel ◽

Content Type ◽

Operative Findings ◽

Fine Print

✓ Two cases of a congenital inclusion dermoid cyst located over the region of the anterior fontanel are described in adult Nigerians, aged 28 and 32 years. In both cases, the cystic lesion was noticed at birth over the anterior fontanel as a small soft lump, and was carried on the head from infancy into adult life. The clinical, radiological, and the operative findings revealed no intracranial extension. The two lesions were histologically verified as dermoid cysts. Surgical excision was curative.

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Case report. Giant ethmoido-frontal osteoma with intracranial and orbital extension – Case report

Romanian Journal of Rhinology ◽

10.1515/rjr-2017-0012 ◽

2017 ◽

Vol 7 (26) ◽

pp. 109-112

Author(s):

Vlad Budu ◽

Tatiana Decuseara ◽

Andreea Nicoleta Costache ◽

Loredana Ghiuzan ◽

Lavinia Sava ◽

...

Keyword(s):

Case Report ◽

Frontal Sinus ◽

Therapeutic Approach ◽

Incidental Finding ◽

Intracranial Extension ◽

Surgical Team ◽

Multiple Factors ◽

Nasal Tumor ◽

The Right

Abstract BACKGROUND. The most frequent benign nasal tumor is the osteoma. It is commonly asymptomatic and usually an incidental finding and can be caused by multiple factors. The therapeutic approach for symptomatic osteomas is strictly surgical. CASE REPORT. The authors present a patient with giant ethmoido-frontal osteoma, causing the compression of the ocular globe and the right frontal lobe. Considering the intracranial extension, a combined surgical team consisting of an ENT surgeon and neurosurgeon decided to deal with the case. The tumoral mass was removed with no recurrence after a follow-up of two years. CONCLUSION. Surgery via external and endoscopic approach aims to completely resect the osteoma with frontal sinus origin and orbital or intracranial extension.

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