Epidermoid cyst with variable contents shown on CT and MRI
Conference paper
Summary
We report an epidermoid cyst which contained at least three kinds of material. One part of the lesion was of low density (25 HU) on CT, hypointense on T1-weighted images and hyperintense on T2-weighted images. This was a typical pearly tumour. Another part was of high density (96 HU) on CT and very low signal intensity on T2-weighted MR images. This contained viscous brown fluid, which was found microscopically to be haemosiderin. The third portion was calcification (400 HU) in the posterior wall. This epidermoid cyst arose from the third ventricle, a very rare location for such a lesion.
Key words
Epidermoid cyst Computed tomography Magnetic resonance imaging Brain neoplasm Pearly tumourReferences
- 1.Davis KR, Roberson GH, Taveras JM, New PF, Trevor R (1976) Diagnosis of epidermoid tumor by computed tomography. Radiology 119:347–353PubMedGoogle Scholar
- 2.Braun IF, Naidich TP, Leeds NE, Koslow M, Zimmerman HM, Chase NE (1977) Dense intracranial epidermoid tumors. Radiology 122:717–719PubMedGoogle Scholar
- 3.Hasegama H, Bitoh S, Nakata M, Fujiwara M, Yasuda H (1980) Intracranial epidermoid mimicking meningioma. Surg Neurol 15:372–374CrossRefGoogle Scholar
- 4.Dunn RC, Archer CA, Rapport RL, Looi LM (1981) Unusual CT-dense posterior fossa epidermoid cyst, case report. J Neuro-surg 55:654–656Google Scholar
- 5.Nagshima C, Takahama M, Sakaguchi A (1981) Dense cerebellopontine epidermoid cyst. Surg Neurol 17:172–177CrossRefGoogle Scholar
- 6.Vion-Dury J, Vincentelli F, Jiddane M, Bunnen YV, Rumeau C, Grisoli F (1987) MR imaging of epidermoid cysts. Neuroradiology 29:333–338PubMedCrossRefGoogle Scholar
- 7.Yuh WTC, Barloon TJ, Jacoby CG, Shultz DH (1988) MR of fourth-ventricular epidermoid tumors. AJNR 9:794–796PubMedGoogle Scholar
- 8.Steffey DJ, Fillipp GJ, Spera T, Gabrielsen TO (1988) MR imaging of primary epidermoid tumors. J Comput Assist Tomogr 12:438–440PubMedCrossRefGoogle Scholar
- 9.Tampieri D, Melanson D, Ethier R (1989) MR imaging of epidermoid cysts. AJNR 10:351–356PubMedGoogle Scholar
- 10.Horowitz B, Chari MV, James R, Bryan RN (1990) MR of intracranial epidermoid tumors: correlation of in vivo imaging with in vitro 13C spectroscopy. AJNR 11:299–302PubMedGoogle Scholar
- 11.Gomori JM, Grossman RI, Hackney DB, Goldberg HI, Zimmerman RA, Bilaniuk LT (1987) Variable appearance of subacute intracranial hematomas in high-field spin-echo MR. AJNR 8:1019–1026Google Scholar
- 12.Netsky MG (1988) Epidermoid tumors, review of the literature. Surg Neurol 29:477–483PubMedCrossRefGoogle Scholar
- 13.Rubin G, Scienza R, Pasqualin A, Rosta L, Pian RD (1989) Craniocerebral epidermoids and dermoids. Acta Neurochir (Wien) 97:1–16CrossRefGoogle Scholar
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© Springer-Verlag 1991