枕骨及小脑表皮样囊肿伴硬脑膜完整1例

IF 0.4 Q4 CLINICAL NEUROLOGY

Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-09 DOI:10.1016/j.inat.2025.102071

Guoguang Lv , Shiyu Zhang , Ting Zhang , Shanshan Ding , Lei Yuan , Kang Wang , Guorong Chen , Mingchen Liu , Xinjie He , Fei Wang

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引用次数: 0

摘要

一位71岁男性被诊断为位于双孔和小脑的表皮样囊肿。颅骨部分最早被发现，并保存了5年多。头晕呕吐时发现小脑部位在附近。这位病人在40年前经历了一次创伤性脑损伤。所有病变全部切除。有趣的是，硬脑膜被证实是完整的，没有任何渗漏到硬脑膜下空间。影像学及病理资料收集完整。结论：我们报告一例脑脊膜炎在颅骨和小脑均有发现，而硬脑膜却完好无损。表皮样细胞迁移或浸润是可能的解释。为了获得更好的临床效果，建议进行全切除。

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Epidermoid cysts in both occipital bone and cerebellum with intact dura mater: a case report

A 71 year-old male was diagnosed of epidermoid cyst located in diploe and cerebellum. The skull part was found firstly and kept steady for more than 5 years. The cerebellar part was found nearby when dizziness and vomit happened. The patient has gone through a traumatic brain injury 4 decades ago. All lesions were resected totally. Interestingly the dura mater was confirmed intact without any leakage into subdural space. Imaging and pathological materials are collected completely. Conclusion: We report a case that EC was found in both skull and cerebellum whereas the dural mater was intact. Epidermoid cell migration or infiltration are possible explanations. Gross total resection is advanced for better clinical outcome.

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