CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 670-673
DOI: 10.4103/ajns.AJNS_78_20
Case Report

A rare case of giant intradiploeic epidermal cyst of the frontal bone with intracranial extension

Akhil Mohan
Department of Neurosurgery, Government Medical College, Kozhikode, Kerala
,
Chandramohan Unni
Department of Neurosurgery, Government Medical College, Kozhikode, Kerala
,
Prakasan Kannoth
Department of Neurosurgery, Government Medical College, Kozhikode, Kerala
,
Rajeev Parambil
Department of Neurosurgery, Government Medical College, Kozhikode, Kerala
› Author Affiliations

Calvarial intradiploeic epidermal cyst are very rare neoplasms which can have intracranial extension. These cysts can attain a large size and can cause lytic destruction of the calvarium resembling malignancy. Since these lesions are benign complete excision is curative. We report the case of a 77-year-old male patient who presented with a large swelling on the forehead. Computed tomography and magnetic resonance imaging showed an expansile lytic lesion with intracranial extension. Complete excision of the lesion with cranioplasty was done. Histopathology was consistent with the epidermal cyst. These cysts attaining gigantic proportions are very few in literature.

Financial support and sponsorship

Nil.




Publication History

Received: 05 March 2020

Accepted: 06 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Wang B, Cheng H, Hong W. Study of intradiploic epidermoid cyst in the right occipital bone. Int J Clin Exp Med 2019;12.7:9483-9486.
  • 2 Akar Z, Tanriover N, Tuzgen S, Kafadar AM, Kuday C. Surgical treatment of intracranial epidermoid tumors. Neurol Med Chir (Tokyo) 2003;43:275-80.
  • 3 Jaiswal AK, Mahapatra AK. Giant intradiploic epidermoid cysts of the skull. A report of eight cases. Br J Neurosurg 2000;14:225-8.
  • 4 Lawrence JE, Tajsic T, Kolias AG, Garnett MR. Giant intradiploic epidermoid cyst with intracranial extension. Br J Neurosurg 2016;30:363-4.
  • 5 Loxha MP, Salihu S, Kryeziu K, Loxha S, Agani Z, Hamiti V, et al. Epidermoid cyst of mandible ramus: Case report. Med Arch 2016;70:238-40.
  • 6 Hasturk AE, Basmaci M, Yilmaz ER, Kertmen H, Gurer B, Atilgan AO. Giant intradiploic epidermoid cyst presenting as solitary skull mass with intracranial extension. J Craniofac Surg 2013;24:2169-71.
  • 7 Krupp W, Heckert A, Holland H, Meixensberger J, Fritzsch D. Giant intradiploic epidermoid cyst with large osteolytic lesions of the skull: A case report. J Med Case Rep 2012;6:85.
  • 8 Sutiono AB, Sidabutar R, Pareira ES, Toda M, Yoshida K. Characteristics intracranial epidermoid cyst between two hospital from developed vs developing institution and literature review. Interdiscip Neurosurg Adv Tech Case Manag 2019;18:100500.
  • 9 Chowdhury FH, Haque MR, Sarker MH. Intracranial epidermoid tumor; microneurosurgical management: An experience of 23 cases. Asian J Neurosurg 2013;8:21-8.
  • 10 Khan AN, Khalid S, Enam SA. Intradiploic epidermoid cyst overlying the torcula: A surgical challenge. BMJ Case Rep 2011;2011:bcr0820103245.
  • 11 Cho JH, Jung TY, Kim IY, Jung S, Kang SS, Kim SH. A giant intradiploic epidermoid cyst with perforation of the dura and brain parenchymal involvement. Clin Neurol Neurosurg 2007;109:368-73.
  • 12 Sasaki H, Nagano S, Shimada H, Nakashima T, Yokouchi M, Ishidou Y, et al. Intraosseous epidermoid cyst of the distal phalanx reconstructed with synthetic bone graft: A report of two cases. J Orthop Surg 2017;25:1-4.
  • 13 Ambo M, Kumakiri M, Chohno Y. Epidermoid cyst with perforation of the skull. J Am Acad Dermatol 2003;49:934-6.