Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations
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 a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000111 |
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| author | Parisa Pishdad, MD Amirhossein Soltani, MD Shakiba Houshi, MD Mohsen Salimi, MD |
| author_facet | Parisa Pishdad, MD Amirhossein Soltani, MD Shakiba Houshi, MD Mohsen Salimi, MD |
| author_sort | Parisa Pishdad, MD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-263b89b51eff4afdacf02049b4ebdcf5 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-263b89b51eff4afdacf02049b4ebdcf52025-08-20T02:47:45ZengElsevierRadiology Case Reports1930-04332025-04-012041871187610.1016/j.radcr.2025.01.011Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerationsParisa Pishdad, MD0Amirhossein Soltani, MD1Shakiba Houshi, MD2Mohsen Salimi, MD3Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran; Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran; Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, IranIsfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, IranSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Corresponding author.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.http://www.sciencedirect.com/science/article/pii/S1930043325000111Intracranial dermoid cystIntraparenchymal dermoid cystDermoid cystEpidermoid cystBrain lesion |
| spellingShingle | Parisa Pishdad, MD Amirhossein Soltani, MD Shakiba Houshi, MD Mohsen Salimi, MD Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations Radiology Case Reports Intracranial dermoid cyst Intraparenchymal dermoid cyst Dermoid cyst Epidermoid cyst Brain lesion |
| title | Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations |
| title_full | Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations |
| title_fullStr | Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations |
| title_full_unstemmed | Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations |
| title_short | Progressive hemorrhagic intracranial dermoid cyst: A case report with imaging and diagnostic considerations |
| title_sort | progressive hemorrhagic intracranial dermoid cyst a case report with imaging and diagnostic considerations |
| topic | Intracranial dermoid cyst Intraparenchymal dermoid cyst Dermoid cyst Epidermoid cyst Brain lesion |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000111 |
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