Advertisement

Acta Neurochirurgica

, Volume 102, Issue 1–2, pp 33–37 | Cite as

Intradiploic epidermoid cysts of the skull: Report of 10 cases and review of the literature

  • P. Ciappetta
  • M. Artico
  • M. Salvati
  • A. Raco
  • F. M. Gagliardi
Clinical Articles

Summary

Intradiploic epidermoid cysts, fairly uncommon lesions in neurosurgical practice, are, as a rule, benign and slow-growing. Some attain great size, producing major neurological signs.

Correct radiological assessment and complete removal of the tumour and its capsule are essential for adequate surgical treatment and good long-term prognosis.

We report ten cases of intradiploic epidermoid cysts of the skull, three of which were giant lesions and one malignant, and analyze the clinicopathological and radiological features and treatment of these lesions in the light of the most important published data.

Keywords

Computed tomography epidermoid cyst malignant epidermoid skull neoplasm 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Allegra G (1956) II dermoide intradiploico. Policlinico (Sez Chir) 63: 106–120Google Scholar
  2. 2.
    Arlt K (1961) Zur Klinik der kraniellen Dermoide. Zbl Chir 86: 2367–2373PubMedGoogle Scholar
  3. 3.
    Arnaud G, Arnaud S (1957) Un cas de cholestéatome frontoorbitaire. In: Proceedings of the Société de Laryngologie des Hopitaux de Paris. Ann Oto-Laringol 74: 725–726Google Scholar
  4. 4.
    Ballarati U (1958) II colesteatoma vero diploico. Minerva Med 49: 160–164PubMedGoogle Scholar
  5. 5.
    Bostrom S, Andersson H, Arnason O (1986) Unusually large epidermoid cyst of the skull: a case report. Acta Neurol Scand 73: 640–642PubMedGoogle Scholar
  6. 6.
    Bucy PC (1935) Intradiploic epidermoid (cholesteatoma) of the skull. Arch Surg 31: 190–199Google Scholar
  7. 7.
    Canale DJ, Clarke HA, Pak YH, Burton WD (1974) Giant primary intradiploic epidermoid tumor of the skull: case report. Surg Neurol 2: 51–54PubMedGoogle Scholar
  8. 8.
    Cantore GP, Delfini R, Mariottini A (1981) Delayed reconstruction of the skull by acrylic antibiotic cranioplasty. Chir Plastica 6: 49–58Google Scholar
  9. 9.
    Caparosa RJ (1955) Epidermoid cyst of the frontal bone. Arch Otolaryngol 62: 218–220Google Scholar
  10. 10.
    Constans JP, Meder JF, De Divitiis E, Donzelli R, Maiuri F (1985) Giant intradiploic epidermoid cyst of the skull. Report of two cases. J Neurosurg 62: 445–448PubMedGoogle Scholar
  11. 11.
    Cronqvist S, Wholey MH (1964) Intracranial involvement in epidermoid and dermoid tumours of the skull. Acta Radiol (Diagn) 2: 194–200Google Scholar
  12. 12.
    Cushing H (1922) A large epidermal cholesteatoma of the parietotemporal region deforming the left hemisphere without cerebral symptoms. Surg Gynecol Obstet 34: 557–566Google Scholar
  13. 13.
    Di Rocco C, Iannelli A, Fileni A (1985) Tumori della volta cranica e dello scalpo in età pediatrica. Minerva Ped 37: 549–554Google Scholar
  14. 14.
    Fasiani GM, Morello G, Beduschi A (1955) Dermoidi ed epidermoidi del cranio e del nevrasse. Contributo clinico. Chirurgia 10: 115–135Google Scholar
  15. 15.
    Garcia J, Lagier R, Hoessly M (1982) Computed tomographypathology correlation in skull epidermoid cyst. Case report. J Comput Assist Tomogr 6 (4): 818–820PubMedGoogle Scholar
  16. 16.
    Grant FC, Austin GM (1950) Epidermoids: clinical evaluation and surgical results. J Neurosurg 7: 190–198PubMedGoogle Scholar
  17. 17.
    Graumann G (1937) Über ein traumatisch entstandenes Cholesteatom der hinteren Schädelgrube. Zbl Chir 64: 1154–1161Google Scholar
  18. 18.
    Griffet J, Roche JL, Grellier P, Duplay J (1985) Les kystes epidermoides de la voute cranienne chez l'enfant. A propos de 6 cas. Pediatrie 7: 561–564Google Scholar
  19. 19.
    Guidetti B, Corradi M, Riccio A (1959) Le cisti epidermoidi del cranio e del nevrasse. Lav Neuropsich 24: 3–111Google Scholar
  20. 20.
    Guidetti B, Gagliardi FM (1977) Epidermoid and dermoid cyst. Clinical evaluation and late surgical results. J Neurosurg 47: 12–18PubMedGoogle Scholar
  21. 21.
    Haig PV (1956) Primary epidermoids of the skull. Including a case with malignant change. Amer J Roentgenol 76: 1076–1080PubMedGoogle Scholar
  22. 22.
    Horvath F, Moricz P (1957) A diploebol kiindulo epidermoid kysta. Magyar Radiol 9: 229–231Google Scholar
  23. 23.
    Jagadha V, Poon T (1985) Epidermoid cyst of the cranium. N Y St J Med (Oct): 596–597Google Scholar
  24. 24.
    Kleinsasser O, Albrecht H (1957) Die Epidermoide der Schädelknochen. Langenbecks Arch u Dtsch Z Chir 285: 498–515Google Scholar
  25. 25.
    Kveton JF, Glasscock ME, Christiansen SG (1986) Malignant degeneration of an epidermoid of the temporal bone. Otolaryngol Head Neck Surg 94: 633–636PubMedGoogle Scholar
  26. 26.
    Lang K (1957) Cholesteatom der Stirn. Zbl Chir 82: 573–576PubMedGoogle Scholar
  27. 27.
    Lazorthes G, Anduze-Acher H (1957) Les signes radiologiques des kystes épidermoides cranio-encéphaliques d'après 9 cas opérés. Neurochirurgie 31: 336–338Google Scholar
  28. 28.
    Lepoire J, Pertuiset B (1957) Les kystes épidermoides cranioencephaliques. Masson et Cie, Paris, pp 18–82Google Scholar
  29. 29.
    Masseboeuf A, Acquaviva R, Thevenot C, Benjelloun M (1959) La forme calvariènne du kyste épidermoide de la voute. Remarques a propos de trois observations. Maroc Med 38: 1612–1614PubMedGoogle Scholar
  30. 30.
    MacCarty CS, Leavens ME, Love JG, Kernohan JW (1959) Dermoid and epidermoid tumors in the central nervous system of adults. Surg Gynecol Obstet 108: 191–198PubMedGoogle Scholar
  31. 31.
    Mòricz P, Horvàth F (1959) In der Diploe sitzende epidermoide Zyste. Zbl Chir 84: 538–540PubMedGoogle Scholar
  32. 32.
    Müller J (1838) Über den feineren Bau und die Formen der krankhaften Geschwülste. G. Reimer, BerlinGoogle Scholar
  33. 33.
    Munro D, Wegner W (1937) Primary cranial and intracranial epidermoids and dermoids. N Engl J Med 216: 273–279Google Scholar
  34. 34.
    Peyton WT, Baker AB (1942) Epidermoid, dermoid and teratomatous tumors of the central nervous system. Arch Neurol Psychiatry 47: 890–917Google Scholar
  35. 35.
    Philippides MD (1954) Cholésteatome frontal et pneumatocéle intraventriculaire. Rev Otoneuroophthalmol 26: 244–247Google Scholar
  36. 36.
    Pistolesi GF, Ruffato C (1954) Cisti epidermoide dell'osso frontale (considerazioni anatomo-radiologiche). Riv Anat Patol Oncol 8: 1193–1202PubMedGoogle Scholar
  37. 37.
    Rand CW, Reeves DL (1943) Dermoid and epidermoid tumors (cholesteatomas) of the central nervous system. Report of twenty-three cases. Arch Surg 46: 350–376Google Scholar
  38. 38.
    Ravelli A, Winkler L (1957) Extrakranielle subperiostale Epidermoidcyste am Stirnbein. Radiol Clin 26: 13–20PubMedGoogle Scholar
  39. 39.
    Rengachary SS, Kishore PRS, Watanabe I (1978) Intradiploic epidermoid cyst of the occipital bone with torcular obstruction. Case report. J Neurosurg 48: 475–478PubMedGoogle Scholar
  40. 40.
    Roth SI (1964) Squamous cysts involving the skull and distal phalanges. J Bone Joint Surg (Am) 46A: 1442–1450Google Scholar
  41. 41.
    Skandalakis JE, Godwin JT, Mabon RF (1958) Epidermoid cyst of the skull. Report of four cases and review of the literature. Surgery 43: 990–1001PubMedGoogle Scholar
  42. 42.
    Swisher RC Jr, Tesluk H (1969) Epidermoid cyst of the skull causing displacement of brain. JAMA 210: 1280–1281PubMedGoogle Scholar
  43. 43.
    Toglia JU, Netsky MG, Alexander E Jr (1965) Epithelial (epidermoid) tumors of the cranium. Their commun nature and pathogenesis. J Neurosurg 23: 384–393PubMedGoogle Scholar
  44. 44.
    Tytus JS, Pennybacker J (1956) Pearly tumours in relation to the central nervous system. J Neurol Neurosurg Psychiatry 19: 241–259Google Scholar
  45. 45.
    Von Remak R (1854) Ein Beitrag zur Entwicklungsgeschichte der krebshaften Geschwülste. Dtsch Klin 6: 170–174Google Scholar
  46. 46.
    White AK, Jenkins HA, Coker NJ (1987) Intradiploic epidermoid cyst of the sphenoid wing. Arch Otolaryngol Head Neck Surg 113: 995–999PubMedGoogle Scholar
  47. 47.
    Yanai Y, Tsuji R, Ohmori S, Tatara N, Kubota S, Nagashima C (1985) Malignant change in an intradiploic epidermoid: report of a case and review of the literature. Neurosurgery 16: 252–256PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • P. Ciappetta
    • 1
  • M. Artico
    • 1
  • M. Salvati
    • 1
  • A. Raco
    • 1
  • F. M. Gagliardi
    • 1
  1. 1.Department of Neurological Sciences, Section of NeurosurgeryUniversity of Rome “La Sapienza”RomeItaly

Personalised recommendations