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Giant Intracranial Dermoid Cyst: Case Report and Review of the Literature on Intracranial Dermoids and Epidermoids

Published online by Cambridge University Press:  18 September 2015

Neil R. Miller  and
Melvin H. Epstein
Neil R. Miller*
Affiliation:
Wilmer Ophthalmological Institute and the Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, Maryland 21205
Melvin H. Epstein
Affiliation:
Wilmer Ophthalmological Institute and the Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, Maryland 21205
*
Wilmer Institute, Johns Hopkins Hospital, 601 N. Broadway, Baltimore, Maryland 21205
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A 45-year old man was referred to the Johns Hopkins Hospital with a seven-year history of repeated episodes of light-headedness, increasing irritability and forgetfulness. Examinations revealed a right superior, incongruous quadrantanopsia. EEG showed an abnormality in the left temporal lobe, and a cerebral angiogram outlined an avascular mass in the left cerebral hemisphere. At operation, the patient was found to have a giant dermoid cyst involving the left frontal, temporal and parietal lobes. Over the last 30 years we have encountered only 6 cases of intracranial epidermoids and 3 cases of intracranial dermoids. These cases are cited, and a discussion of the embryology, histology, clinical characteristics, and treatment of these lesions with a review of the literature is undertaken.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 2 , Issue 2 , May 1975 , pp. 127 - 134
Copyright
Copyright © Canadian Neurological Sciences Federation 1975

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