Late-onset rupture of an intracranial dermoid cyst: a case report

Dermoid cysts are developmental abnormalities occurring between the third and fifth week of embryogenesis. These lesions can initially develop as intracranial or extracranial and persist throughout the patient's lifetime. While generally benign, their symptoms can be due to mass effect or local...

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Bibliographic Details
Published in:Journal of medical case reports 2024-01, Vol.18 (1), p.9-9, Article 9
Main Authors: Shalmiyev, Richard, Devine, Adam, Gonzalez, Sheyla, Danckers, Mauricio
Format: Article
Language:English
Subjects:
Adult
Asymptomatic
Case Report
Case reports
Convulsions & seizures
Critical care
Cysts
Dermoid cyst
Dermoid Cyst - complications
Dermoid Cyst - surgery
Developmental disabilities
Disease Progression
Exocrine glands
Female
Follicles
Hair
Headache
Headaches
Hispanic or Latino
Humans
Hydrocephalus
Ischemia
Medical prognosis
Meningitis
Nervous system
Neurosurgery
Outpatient care facilities
Pathology
Patients
Seizures (Medicine)
Seizures - etiology
Surgery
Tumors
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Description
Summary:Dermoid cysts are developmental abnormalities occurring between the third and fifth week of embryogenesis. These lesions can initially develop as intracranial or extracranial and persist throughout the patient's lifetime. While generally benign, their symptoms can be due to mass effect or local irritation secondary to rupture and release of contents, typically presenting as headaches and seizures. Intracranial dermoid cysts are rare and comprise less than 1% of all intracranial lesions, with rupture occurring approximately 0.18% of the time. Our case describes a 42-year-old Hispanic female with a late-onset rupture of an intracranial dermoid cyst with associated new onset seizures. She underwent uncomplicated neurosurgical resection with mesh placement and was scheduled to follow-up as an outpatient. To avoid rupture and associated sequelae in future patients, we recommend considering a more invasive approach as the initial strategy if internal cysts are relatively accessible.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-023-04322-0