scholarly journals EPIDERMOID CYST OF THE FOURTH VENTRICLE: AN UNUSUAL LOCATION

2020 ◽  
Vol 8 (12) ◽  
pp. 786-788
Author(s):  
S. Amalik ◽  
◽  
C. Ayadi ◽  
H. Essaber ◽  
J. El Fenni ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Epidermoid Cyst ◽  
Fourth Ventricle ◽  
Cerebellopontine Angle ◽  
Clinical Signs ◽  
Surgical Excision ◽  
Basal Cistern ◽  
Chronic Daily Headaches ◽  
Slow Growing

Epidermoid cysts are slow-growing congenital tumors developed from ectodermal inclusions. They usually sit at the cerebellopontine angle or basal cistern, their location in the fourth ventricle are exceptional.We report the case of a 44-year-old patient admitted to the Neurosurgery department for chronic daily headaches with visual impairment recently aggravated by cerebellar stato-kinetic syndrome.The diagnosis of epidermoid cyst of the fourth ventricle was suspected on MRI especially in diffusion sequence and then confirmed by the anatomopatological studies. Subtotal surgical excision was performed. The evolution was marked by the disappearance of clinical signs. Radiological and clinical follow up were indicated.

scholarly journals The Fourth Ventricle Epidermoid Cyst: About Two Cases

2019 ◽  
Vol 5 (4) ◽  
pp. 165-168
Author(s):  
Djene Ibrahima KABA ◽  
◽  
Adil MAATI ◽  
Mamadou Bata DIANKA ◽  
Aboubacar M’mah CAMARA ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Epidermoid Cyst ◽  
Fourth Ventricle ◽  
Clinical Signs ◽  
Young Patients ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Sellar Region ◽  
Temporal Fossa

Epidermoid cysts are rare benign tumors developed from ectodermic inclusions. They usually sit at the ponto-cerebellar angle, the para-sellar region and the temporal fossa. Their seat at the fourth ventricle is unusual. We report two cases of squamous cell cyst in two young patients aged 21 and 33 admitted for intracranial hypertension syndrome associated with walking disorders. The diagnosis of epidermoid cyst of the V4 was evoked on the data of the MRI then confirmed in peroperative and in histology. The surgical excision was subtotal due to adhesion of the capsule to the upper part of the V4 floor. After a 12-month follow-up, the first patient showed no signs of tumor re-evolution. The second patient benefited from a ventriculo-peritonial derivation 45 days after the cyst was removed. After a 7-month follow-up, the patient showed no clinical signs suggestive of tumor re-evolution.

scholarly journals Ibuprofen-Induced Aseptic Meningitis in a Male Adolescent with Intracranial Hypertension and Visual Impairment: A Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 233-238
Author(s):  
Seyed Mohammad Mousavi Mirzaei ◽  
Zahra Ahmadi
Keyword(s):  
Visual Impairment ◽  
Intracranial Hypertension ◽  
Aseptic Meningitis ◽  
Rare Complication ◽  
Clinical Signs ◽  
Male Adolescent ◽  
Drug Induced ◽  
Blurred Vision ◽  
Inflammatory Drugs

Drug-induced aseptic meningitis (DIAM) is a rare complication of certain drugs, most commonly reported with ibuprofen use. The present study reports on a male adolescent with intracranial hypertension and visual impairment accompanied by DIAM. We present a 16-year-old male patient who after ibuprofen consumption displayed headache, fever, photophobia, and blurred vision following heavy exercises. Examination of cerebrospinal fluid showed a mononuclear pleocytosis and an increase in protein concentration. Other examinations had normal results. The development of common clinical signs following ibuprofen use reflected DIAM. The patient’s vision was found to improve with supportive care and stopping of the drug during follow-up. Given the widespread use of nonsteroidal anti-inflammatory drugs and the fact that these drugs are the most common cause of DIAM, the probability of occurrence of this event should be always kept in mind, and screening for autoimmune diseases in these patients is of great importance.

scholarly journals Gingival Lipoma: A Rare Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 37-39
Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Rare Case Report ◽  
Postsurgical Complication ◽  
Benign Tumours ◽  
One Year ◽  
Slow Growing ◽  
Oral Soft Tissue

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.

scholarly journals Epidermoid Cyst of the Fourth Ventricle: A Case Report

2019 ◽  
Vol 08 (03) ◽  
pp. 191-192
Author(s):  
Sushil Kumar ◽  
Sandeep Sharma ◽  
Rajneesh Misra ◽  
Kundan Kumar
Keyword(s):  
Case Report ◽  
Short Duration ◽  
Epidermoid Cyst ◽  
Fourth Ventricle ◽  
Young Lady ◽  
Duration Of Symptoms ◽  
Epidermoid Cysts ◽  
Slow Growing

AbstractEpidermoid cysts of the fourth ventricle are slow-growing benign rare lesions. We report a case of fourth ventricle epidermoid in a young lady with short duration of symptoms.

Calcified Epidermoid Cyst at an Unusual Location in a 5-Year-Old Child with Intellectual Disability

2017 ◽  
Vol 16 (04) ◽  
pp. 232-235
Author(s):  
Pramod Giri ◽  
Kirti Jaiswal ◽  
Milind Bhatkule ◽  
Vaibhav Chavan
Keyword(s):  
Intellectual Disability ◽  
Epidermoid Cyst ◽  
Cerebellopontine Angle ◽  
Clinical Presentation ◽  
Unusual Site ◽  
Suprasellar Region ◽  
Interhemispheric Fissure ◽  
Intracranial Neoplasm ◽  
The Right ◽  
Slow Growing

AbstractAn epidermoid cyst is a rare intracranial neoplasm. It is mostly found in cerebellopontine angle, suprasellar region, interhemispheric fissure, and is rarely found in other locations too. Epidermoid cyst at the parietooccipital area is rare, and calcification among epidermoids is very unusual and dystrophic in nature. The clinical presentation is usually in adults because of slow-growing nature of epidermoid cyst. Here, we present the case of a 5-year-old child with intellectual disability who presented with seizure and frequent crying episodes and was diagnosed with an intradural extra-axial calcified mass of size 8 × 5.5 × 5 cm in the right parietooccipital region which turned out to be a calcified epidermoid cyst and was excised successfully in toto. This is the youngest reported case of the calcified epidermoid cyst at an unusual site of our knowledge.

scholarly journals Everolimus for the treatment of epithelioid hemangioma: a case report

2021 ◽  
Author(s):  
Mururul Aisyi ◽  
Ayu Hutami Syarif ◽  
Dewi Aisyah Mukarramah ◽  
Rio Hermawan ◽  
Dewi Iriani
Keyword(s):  
Targeted Therapy ◽  
Therapeutic Strategy ◽  
Hand Function ◽  
Surgical Excision ◽  
Vascular Tumor ◽  
Lesion Size ◽  
Test Results ◽  
Epithelioid Hemangioma ◽  
Slow Growing

Epithelioid hemangioma is a rare benign vascular tumor manifested as slow-growing subcutaneous or dermal nodules. A previously therapeutic strategy involved surgical excision and sclerotherapy. However, no standard treatment has been established. Here, we reported an atypical case of epithelioid hemangioma that had a locally aggressive behavior and was successfully treated with everolimus, a rapamycin analog used for cancer therapy. A 1-year-old boy presented with an ulcerated lump in the left palmar region. The imaging test results, confirmed through histopathologic examination, suggested a diagnosis of epithelioid hemangioma. Targeted therapy with everolimus was administered orally because of a minimal response to initial transarterial sclerotherapy. The patient achieved a satisfactory response with a significantly reduced lesion size and improved hand function after a 2-year follow-up. This finding showed that patients with locally aggressive forms of epithelioid hemangioma may significantly benefit from everolimus as a potential targeted therapy.

scholarly journals Ectopic cilia associated with an orbital dermoid cyst and sinus tract: case report

2015 ◽  
Vol 16 (2) ◽  
pp. 203-206 ◽  
Author(s):  
David Krahulík ◽  
Marta Karhanová ◽  
Miroslav Vaverka ◽  
Světlana Brychtová ◽  
Dagmar Pospíšilová
Keyword(s):  
Dermoid Cyst ◽  
Clinical Signs ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Ophthalmological Examination ◽  
Upper Eyelid ◽  
Orbital Mass ◽  
Co Morbidity ◽  
Ectopic Cilia

Ectopic cilia are extremely rare congenital anomalies in which eyelash follicles appear in an abnormal place on the eyelid, most typically on the lateral quadrant of the anterior surface of the upper eyelid. In the majority of cases, simple surgical excision of ectopic cilia is indicated because of its cosmetic aspect. There is usually no associated medical co-morbidity with this anomaly. The authors report an unusual case of ectopic cilia associated with an orbital dermoid cyst and sinus tract. A 3-year-old boy was initially diagnosed with ectopic cilia on the left upper eyelid. There was no history of inflammation or swelling of the eyelid. An ophthalmological examination revealed only 1 mm of ptosis; no proptosis, inferior displacement, or palpable orbital mass was present. During surgical excision of the ectopic cilia, a thin sinus tract was identified, leading posteriorly to the orbit. Magnetic resonance imaging performed after the excision showed a supraorbital extraconal mass just below the roof of the left orbit. A supraorbital 2-piece craniotomy was performed with total extirpation of the dermoid cyst. The cyst was removed en bloc without damage to the extraocular muscles, but the sinus tract could no longer be identified. Follow-up MRI was performed 6 months after surgery and showed no evidence of recurrence. A follow-up ophthalmological examination showed no signs of inferior displacement or proptosis. To the best of the authors’ knowledge, this case is the first reported instance of ectopic cilia associated with a dermoid cyst and sinus tract in which no typical clinical signs and symptoms of possible orbital pathology were present. This case highlights the value of radiological examination in all cases of ectopic cilia prior to surgical excision.

scholarly journals Malignant Chondroid Syringoma With Nose and Paranasal Sinus Extension: A Case Report

2019 ◽  
Vol 10 ◽  
pp. 215265671989336
Author(s):  
Raghul Sekar ◽  
Raja Kalaiarasi ◽  
Sivaraman Ganesan ◽  
Arun Alexander ◽  
Sunil K. Saxena
Keyword(s):  
Benign Tumor ◽  
Bone Destruction ◽  
Neck Region ◽  
Surgical Excision ◽  
Mixed Tumor ◽  
Head And Neck Region ◽  
Chondroid Syringoma ◽  
Slow Growing ◽  
Nose And Sinuses

Chondroid syringoma is a rare, skin appendageal tumor. It is also known as mixed tumor of skin, as it histologically resembles mixed tumor of salivary gland (pleomorphic adenoma). It is most commonly a benign tumor, but a few malignant counterparts have been described in history. It usually presents as a solid, slow-growing, solitary, and painless nodule in the head and neck region. Malignant counterpart is rare and commonly affects trunk and extremities. Early diagnosis and surgery by wide local excision are the most reliable treatments to date. Recurrences are common and hence close follow-up is advised. In this study, we present a case of malignant chondroid syringoma of face with extensive extension into nose and paranasal sinuses, which was recurrent and managed by surgical excision and radiotherapy. To the best of our knowledge, this is the first reported case with extension and bone destruction into nose and sinuses.

scholarly journals Chondroid Syringoma of Dorsum of the Nose

2018 ◽  
Vol 26 (3) ◽  
pp. 219-221
Author(s):  
Netra Aniruddha Pathak ◽  
Vidya Vasant Rokade ◽  
Kiran Jayawant Shinde
Keyword(s):  
Surgical Excision ◽  
Benign Tumors ◽  
Adult Males ◽  
Seborrheic Keratosis ◽  
Chondroid Syringoma ◽  
External Nose ◽  
Middle Aged Adult ◽  
Slow Growing ◽  
Mixed Tumors

IntroductionChondroid syrigomas are rare, usually benign tumors occurring predominantly in the head and neck area. These are also known as mixed tumors of skin. Preoperative diagnosis is difficult and generally histopathology examination confirms the diagnosis.  The usual presentation is that of a slowly growing mass.Case ReportA rare case of chondroid syringoma on dorsum of external nose in 30 year old female patient   is presented.DiscussionChondroid syringoma presents as slow‐growing, painless, subcutaneous or intracutaneous nodule in middle‐aged adult males. The tumor is often initially confused with more common dermatologic skin disorders such as sebaceous cysts, dermoid cysts, neurofibromas, dermatofibromas, basal cell carcinoma, histiocytoma and seborrheic keratosis. The treatment of choice is surgical excision with negative margins with follow-up to detect recurrences.

scholarly journals An Epidermoid Cyst along the Sensory Branch of Digital Nerve with Focal Neuropathy: A Case Report

2021 ◽  
Author(s):  
Sang Ho Oh ◽  
Su Hyun Choi ◽  
Young Woo Kim
Keyword(s):  
Epidermoid Cyst ◽  
Ring Finger ◽  
Benign Neoplasm ◽  
Excisional Biopsy ◽  
Skin Surface ◽  
Digital Nerve ◽  
Plexus Block ◽  
Slow Growing ◽  
Focal Neuropathy

An epidermoid cyst is a slow-growing benign neoplasm that commonly occurs in the hand. Herein, we report a rare case of an epidermoid cyst with focal neuropathy in the left ring finger of a 38-year-old woman. Preoperatively, the patient complained of erythema, swelling, and paresthesia on her fingertips. On ultrasonography and magnetic resonance imaging, ulnar digital nerve thickening and inflammation around the nerve were observed, and a neurogenic tumor-like schwannoma was expected. An excisional biopsy with neurectomy of the involved sensory branch of the ulnar digital nerve was performed under brachial plexus block. During the operation, there is such an uncommon morphology, yellowish debris under the epineurium of the ulnar digital nerve sensory branch was involved with the epidermoid cyst and seemed to be propagating along the sensory branch from the skin surface. After the operation, the paresthesia and swelling resolved. Over the 6-month follow-up in the outpatient clinic, no complications and recurrences occurred. Thus, we reported a rare intraneural epidermoid cyst (occurred along the digital nerve) in the finger, and we believe that considering the anatomical characteristics and the surrounding structures is important during mass excision.

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