Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations

Q4 Medicine

Radiology Case Reports Pub Date : 2025-01-17 DOI:10.1016/j.radcr.2025.01.011

Parisa Pishdad MD , Amirhossein Soltani MD , Shakiba Houshi MD , Mohsen Salimi MD

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引用次数: 0

Abstract

This report describes the case of a 35-year-old woman with a recurrent ruptured intracranial dermoid cyst. These rare congenital lesions account for less than 1% of intracranial tumors globally. The patient was first diagnosed in her adolescence and underwent surgical excision with shunt placement at the age of 23, which provided symptom relief for 6 years. Her symptoms later recurred, including headaches, blurred vision, and progressive weakness. Imaging revealed a hemorrhagic lobulated mass that compressed the brainstem, encased vascular structures, caused a midline shift, and led to ventricular dilation. These findings suggested possible incomplete removal of the cyst wall during the initial surgery. This case highlights the challenges of diagnosing and managing recurrent intracranial dermoid cysts. It emphasizes the need for long-term monitoring, detailed imaging to assess recurrence and complications, and a multidisciplinary approach to treatment to improve outcomes.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.