A thirty year old female presented with sudden onset of severe headache, papilloedema and altered sensorium. Computerised tomography (CT) scan showed a hyperdense vermian mass in the posterior fossa. Operative findings and histological examination revealed spontaneous bleed into the epidermoid cyst. Difficulty in the preoperative diagnosis and uncommon presentation of the intracranial epidermoid cyst prompted us to report this case.
Epidermal Cyst/diagnostic imaging , Adult , Cranial Fossa, Posterior/diagnostic imaging , Cranial Fossa, Posterior/surgery , Epidermal Cyst/surgery , Female , Humans , Tomography, X-Ray Computed
Twenty two cases of Intracranial epidermoids seen during the last twenty years are reviewed. Age ranged between 7 and 62 years. Duration of symptoms ranged between 6 months and 5 years. Symptoms of raised Intracranial pressure were common presentingcomplaints. Papilloedema was the commonest neurological finding. Computed tomography performed in 15 cases showed low attenuating lesion in 14 cases and a high attenuating lesion in one case. Myodil ventriculogram done in 3 cases and carotid angiography in 4 cases showed avascular mass.
Brain Abscess , Adolescent , Adult , Brain Abscess/diagnosis , Brain Abscess/surgery , Child , Child, Preschool , Craniotomy , Female , Humans , Infant , Male , Middle Aged
Four cases of hydatid cysts of the brain are reported. All of the patients were under 18 years of age. One presented with a localized erosion of the skull and a characteristic cracked-pot sign. Angiographic findings were most useful in their diagnosis.
Brain Diseases/epidemiology , Echinococcosis/epidemiology , Adolescent , Brain Diseases/diagnostic imaging , Brain Diseases/physiopathology , Child , Echinococcosis/diagnostic imaging , Echinococcosis/physiopathology , Humans , India , Male , Radiography
Histiocytoma, Benign Fibrous/diagnosis , Skull Neoplasms/diagnosis , Adult , Brain Neoplasms/diagnosis , Cerebral Angiography , Diagnosis, Differential , Female , Histiocytoma, Benign Fibrous/diagnostic imaging , Histiocytoma, Benign Fibrous/pathology , Humans , Skull Neoplasms/diagnostic imaging , Skull Neoplasms/pathology , Temporal Lobe/pathology
