Pediatric Radiology

, Volume 39, Issue 8, pp 850–853 | Cite as

Neuroimaging findings in a child with dumbbell-shaped frontosphenoidal dermoid cyst presenting as preseptal cellulitis

  • Mercedes Dizon
  • Arzu Ozturk
  • Richard J. Redett
  • Izlem IzbudakEmail author
Case Report


We report the CT and MRI findings in a 5-year-old girl with histologically proven frontosphenoidal dumbbell-shaped dermoid cyst with sinus tracts in the frontal bone extending to the dura. Although the most common location for dermoid cyst in the head and neck is at the frontosphenoidal region, presentation with a tract extending deep to underlying bone or the intracranium is rare for this location. Complete surgical excision has been widely accepted as the basic treatment for dermoid cyst. However, the relatively extensive nature of such surgical interventions may be associated with serious risks to both visual acuity and cosmesis. From a clinical viewpoint, even if these are rare cases, radiological imaging is crucial for orienting the deeper extension of the lesion for presurgical planning.


CT MRI Dermoid cyst Frontosphenoidal Child 


  1. 1.
    Nugent RA, Lapointe JS, Rootman J et al (1987) Orbital dermoids: features on CT. Radiology 165:475–478PubMedGoogle Scholar
  2. 2.
    Pryor SG, Lewis JE, Weaver AL et al (2005) Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 132:938–942PubMedCrossRefGoogle Scholar
  3. 3.
    Wells TS, Harris GJ (2004) Orbital dermoid cyst and sinus tract presenting with acute infection. Ophthal Plast Reconstr Surg 20:465–467PubMedCrossRefGoogle Scholar
  4. 4.
    Eibl KH, Kampik A, Hintschich C (2005) Upper eyelid oedema from a dumbbell-shaped dermoid cyst. Acta Ophthalmol Scand 83:126–127PubMedCrossRefGoogle Scholar
  5. 5.
    Grossman RI, Yousem DM (2003) Neuroradiology: the requisites. Mosby, PhiladelphiaGoogle Scholar
  6. 6.
    Grove AJ (1981) Orbital disorders: diagnosis and management. Raven, New YorkGoogle Scholar
  7. 7.
    Sherman RP, Rootman J, Lapointe JS (1984) Orbital dermoids: clinical presentation and management. Br J Ophthalmol 68:642–652PubMedCrossRefGoogle Scholar
  8. 8.
    Scolozzi P, Lombardi T, Jaques B (2005) Congenital intracranial frontotemporal dermoid cyst presenting as a cutaneous fistula. Head Neck 27:429–432PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Mercedes Dizon
    • 1
  • Arzu Ozturk
    • 1
  • Richard J. Redett
    • 2
  • Izlem Izbudak
    • 1
    Email author
  1. 1.Russell H. Morgan Department of Radiology and Radiological ScienceThe Johns Hopkins HospitalBaltimoreUSA
  2. 2.Department of Surgery, Division of Plastic SurgeryJohns Hopkins University School of MedicineBaltimoreUSA

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