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Focal traumatic rupture of a dermoid cyst in a pediatric patient: case report and literature review

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Abstract

Background

Dermoid cysts are rare congenital teratomas that can occasionally rupture and cause chemical meningitis, neurological deficit, or hydrocephalus. Rarely, dermoid cysts in the pediatric population can rupture spontaneously and even more rarely rupture due to trauma. To date, there are only five documented cases of traumatic rupture of a dermoid cyst.

Case summary

A 2-year-old male presented with 5 days of left eye ptosis and ophthalmoplegia after suffering a fall and was found to have a ruptured left anterior clinoid dermoid cyst that was surgically resected. The patient had significant improvement postoperatively.

Significance

To the authors’ knowledge, this is the first reported case in the literature of a ruptured dermoid cyst after trauma in a pediatric patient and the first case of a traumatically ruptured dermoid cyst presenting with neurological deficit.

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References

  1. Amendola MA, Garfinkle WB, Ostrum BJ, Katz MR, Katz RI (1978) Preoperative diagnosis of a ruptured intracranial dermoid cyst by computerized tomography. Case report. J Neurosurg 48:1035–1037

    Article  CAS  Google Scholar 

  2. Asil K, Gunduz Y, Ayhan LT, Aksoy YE, Yildiz C (2013) Spontaneous rupture of intracranial dermoid tumor in a patient with vertigo. Computed tomography and magnetic resonance imaging findings. Pol J Radiol 78:79–82

    Article  Google Scholar 

  3. Brown IA, Peyton WT (1951) Brain tumors simulating meningitis. J Neurosurg 8:459–468

    Article  CAS  Google Scholar 

  4. Chen JC, Chen Y, Lin SM, Tseng SH (2005) Sylvian fissure dermoid cyst with intratumoral hemorrhage: case report. Clin Neurol Neurosurg 108:63–66

    Article  CAS  Google Scholar 

  5. Coevoet HM, can Minderhout HM, Mooy CM, Simonsz HJ (2000) Perinatally ruptured dermoid cyst presenting as congenital oculomotor palsy. Strabismus 8:15–20

    Article  CAS  Google Scholar 

  6. Detweiler MB, David E, Arif S (2009) Ruptured intracranial dermoid cyst presenting with neuropsychiatric symptoms: a case report. South Med J 102:98–100

    Article  Google Scholar 

  7. Esquenazi Y, Kerr K, Bhattacharjee MB, Tandon N (2013) Traumatic rupture of an intracranial dermoid cyst: case report and literature review. Surg Neurol Int 4:80

    Article  Google Scholar 

  8. Ford K, Drayer B, Osborne D, Dubois P (1981) Case report. Transient cerebral ischemia as a manifestation of ruptured intracranial dermoid cyst. J Comput Assist Tomogr 5:895–897

    Article  CAS  Google Scholar 

  9. Garces J, Mathkour M, Beard B, Sulaiman OA, Ware ML (2016) Insular and Sylvian fissure dermoid cyst with giant cell reactivity: case report and review of literature. World Neurosurg 93:491.e1–491.e5. https://doi.org/10.1016/j.wneu.2016.1005.1037

    Article  Google Scholar 

  10. Garces J, Mathkour M, Beard B, Sulaiman OA, Ware ML (2016) Insular and sylvian fissure dermoid cyst with giant cell reactivity: case report and review of literature. World Neurosurg 93:491

    Article  Google Scholar 

  11. Hahn FJ, Ong E, McComb RD, Mawk JR, Leibrock LG (1986) MR imaging of ruptured intracranial dermoid. J Comput Assist Tomogr 10:888–889

    Article  CAS  Google Scholar 

  12. Hamer J (1980) Diagnosis by computerized tomography of intradural dermoid with spontaneous rupture of the cyst. Acta Neurochir 51:219–226

    Article  CAS  Google Scholar 

  13. Healy JF, Brahme FJ, Rosenkrantz H (1980) Dermoid cysts and their complications as manifested by computed cranial tomography. J Comput Tomogr 4:111–115

    Article  CAS  Google Scholar 

  14. Jamjoom AB, Cummins BH (1989) The diagnosis of ruptured intracranial dermoid cysts. Br J Neurosurg 3:609–612

    Article  CAS  Google Scholar 

  15. Karabulut N, Oguzkurt L (2000) Tetraventricular hydrocephalus due to ruptured intracranial dermoid cyst. Eur Radiol 10:1810–1811

    Article  CAS  Google Scholar 

  16. Kim IY, Jung S, Jung TY, Kang SS, Kim TS (2008) Traumatic rupture of an intracranial dermoid cyst. J Clin Neurosci 15:469–471

    Article  Google Scholar 

  17. Koh YC, Choi JW, Moon WJ, Roh HG, Park HJ (2012) Intracranial dermoid cyst ruptured into the membranous labyrinth causing sudden sensorineural hearing loss: CT and MR imaging findings. AJNR Am J Neuroradiol 33:E69–E71

    Article  Google Scholar 

  18. Lunardi P, Missori P, Rizzo A, Gagliardi FM (1989) Chemical meningitis in ruptured intracranial dermoid. Case report and review of the literature. Surg Neurol 32:449–452

    Article  CAS  Google Scholar 

  19. Martin R, Knone A, Schuknecht B, Kuhn W (1989) Rapid development of occlusion hydrocephalus by intraventricular fat possibly derived from a ruptured dermoid cyst. J Neurol Neurosurg Psychiatry 52:134–135

    Article  CAS  Google Scholar 

  20. Mikhael MA (1982) Transient spasm of carotid siphon complicating ruptured cranial dermoid cyst. Radiology 144:824

    Article  CAS  Google Scholar 

  21. Paik SC, Kim CH, Cheong JH, Kim JM (2015) A ruptured dermoid cyst of the cavernous sinus extending into the posterior fossa. J Korean Neurosurg Soc 57:364–366

    Article  CAS  Google Scholar 

  22. Park SK, Cho KG (2012) Recurrent intracranial dermoid cyst after subtotal removal of traumatic rupture. Clin Neurol Neurosurg 114:421–424

    Article  Google Scholar 

  23. Phillips WE, Martinez CR, Cahill DW (1994) Ruptured intracranial dermoid tumor secondary to closed head trauma. Computed tomography and magnetic resonance imaging. J Neuroimaging 4:169–170

    Article  Google Scholar 

  24. Ramlakhan R, Candy S (2015) Traumatic rupture of an intracranial dermoid cyst. Radiol Case Rep 10:1053

    Article  Google Scholar 

  25. Rubin G, Scienza R, Pasqualin A, Rosta L, Da Pian R (1989) Craniocerebral epidermoids and dermoids. A review of 44 cases. Acta Neurochir (Wien) 97:1–16

    Article  CAS  Google Scholar 

  26. Siah WF, Al-Muhaylib AA, Rajak S, Ziahosseini K, Selva D, Malhotra R, Alsuhaibani AH (2016) Clinical outcomes of ruptured periorbital and orbital dermoid cysts. Ophthal Plast Reconstr Surg

  27. Singla N, Kapoor A (2016) Ruptured intracranial dermoid: is surgery indispensible: 11-year follow-up of a rare entity. World Neurosurg 88:693

    Article  Google Scholar 

  28. Skovrlj B, Mascitelli JR, Steinberger JM, Weiss N (2014) Progressive visual loss following rupture of an intracranial dermoid cyst. J Clin Neurosci 21:159–161

    Article  Google Scholar 

  29. Smirniotopoulos JG, Chiechi MV (1995) Teratomas, dermoids, and epidermoids of the head and neck. Radiographics 15:1437–1455

    Article  CAS  Google Scholar 

  30. Stendel R, Pietila TA, Lehmann K, Kurth R, Suess O, Brock M (2002) Ruptured intracranial dermoid cysts. Surg Neurol 57:391–398

    Article  Google Scholar 

  31. Stephenson TF, Spitzer RM (1987) MR and CT appearance of ruptured intracranial dermoid tumors. Comput Radiol 11:249–251

    Article  CAS  Google Scholar 

  32. Sugano H, Shimizu H, Sunaga S, Arai N, Tamagawa K (2006) Temporal lobe epilepsy caused by dermoid cyst. Neurol Med Chir (Tokyo) 46:206–209

    Article  Google Scholar 

  33. Takeuchi H, Kubota T, Kabuto M, Izaki K (1993) Ruptured suprasellar dermoid cyst presenting olfactory delusion (Eigengeruchs erlebnis). Neurosurgery 33:97–99

    CAS  PubMed  Google Scholar 

  34. Yoshimoto K, Nishio S, Suzuki S, Fukui M, Hasuo K (1997) Movable oil in the brain: intracranial ruptured dermoid tumors. Case illustration. J Neurosurg 86:734

    Article  CAS  Google Scholar 

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Acknowledgements

Drs. Michael Chicoine M.D., Professor of Neurological Surgery and Joseph C. Corbo M.D., Ph.D., Associate Professor in Pathology and Immunology provided clinical expertise in the creation of this work.

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Authors and Affiliations

  1. Department of Neurological Surgery, St. Louis Children’s Hospital, Washington University in St. Louis School of Medicine, 1 Children’s Place, St. Louis, MO, 63110, USA

    Syed Hassan A. Akbari, Aravind Somasundaram, Jarod L. Roland, Matthew D. Smyth & Jennifer M. Strahle

  2. Department of Neurological Surgery, Washington University in St. Louis School of Medicine, 660 South Euclid Ave, St. Louis, MO, 63110, USA

    Syed Hassan A. Akbari, Aravind Somasundaram, Jarod L. Roland, Matthew D. Smyth & Jennifer M. Strahle

  3. Department of Pathology and Immunology, Washington University in St. Louis School of Medicine, 660 South Euclid Ave, St. Louis, MO, 63110, USA

    Cole J. Ferguson

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  1. Syed Hassan A. Akbari
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  2. Aravind Somasundaram
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  3. Cole J. Ferguson
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Correspondence to Syed Hassan A. Akbari.

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Akbari, S.H.A., Somasundaram, A., Ferguson, C.J. et al. Focal traumatic rupture of a dermoid cyst in a pediatric patient: case report and literature review. Childs Nerv Syst 34, 2485–2490 (2018). https://doi.org/10.1007/s00381-018-3879-6

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  • DOI: https://doi.org/10.1007/s00381-018-3879-6

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