Epidermoid Cyst Arising from the Corpus Callosum

  • Kim, Dok-Ryong (Department of Neurosurgery, Eulji University School of Medicine) ;
  • Kang, Hee-In (Department of Neurosurgery, Eulji University School of Medicine) ;
  • Kim, Jae-Hoon (Department of Neurosurgery, Eulji University School of Medicine) ;
  • Kim, Joo-Seung (Department of Neurosurgery, Eulji University School of Medicine)
  • Published : 2007.03.30

Abstract

Most of intradural epidermoid cyst arise as slowly growing extraaxial lesions but purely intracerebral epidermoid cysts are rare. A 39-year-old female presented with a headache during several months. Brain computed tomography [CT] scan showed a mass lesion in the both frontal lobe with heterogenous density approximately $5{\times}5cm$ in size. Magnetic resonance imaging [MRI] revealed a mass of heterogenous signal intensity on T1, T2-weighted image and faint enhancement with gadolinium [Gd]. Through the both interhemispheric approach, mass was removed subtotally except the calcified portion tightly attached to the corpus callosum. The patient discharged without neurological deficit. The authors report a case of epidermoid cyst in the corpus callosum and discuss the pathogenesis of the intraparenchymal epidermoid cyst.

Keywords

References

  1. Acciarri N, Padovani R, Foschini MP, Giulioni M, Finizio FS : Intracranial squamous cell carcinoma arising in an epidermoid cyst. Br J Neurosurg 7 : 565-569, 1993 https://doi.org/10.3109/02688699308995081
  2. Berger MB, Wilson CB : Epidermoid cysts of the posteror fossa. J Neurosurg 21 : 1051-1058, 1984
  3. Cho JN, Kim SH, Kim KT, Kim Y : A case of epidermoid cyst with intractable tigeminal neuralgia. J Korean Neurosurg Soc 21 : 442-448, 1992
  4. Committee of the Brain Tumor Registry of Japan : Special report of Brain Tumor Registry of Japan (1969-1990). Neurol Med Chir (Tokyo) 39 : 59-107, 1999 https://doi.org/10.2176/nmc.39.59
  5. Furuhata S, Yamada F, Fukuda S, Otani M, Toya S : Epidermoid cysts of the callosal region three case reports. Neurol Med Chir (Tokyo) 33 : 697-699, 1993 https://doi.org/10.2176/nmc.33.697
  6. Gormley WB, Tomecek FJ, Qureshi N, Malik GM : Craniocerebral epidermoid and dermoid tumours : a review of 32 cases. Acta Neurochir 128 : 115-121, 1994 https://doi.org/10.1007/BF01400660
  7. Guidetti B, Gagliardi FM : Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 47 : 12-18, 1977 https://doi.org/10.3171/jns.1977.47.1.0012
  8. Hakyemez B, Aksoy U, Yildiz H, Ergin N : Intracranial epidermoid cysts : diffusion-weighted, FLAIR and conventional MR findings. Eur J Radiol 54 : 214-220, 2005 https://doi.org/10.1016/j.ejrad.2004.06.018
  9. Iaconetta G, Carvalho GA, Vorkapic P, Samii M : Intracerebral epidermoid tumor : a case report and review of the literature. Surg Neurol 55 : 218-222, 2001 https://doi.org/10.1016/S0090-3019(01)00346-9
  10. Mohanty A, Venkatrama SK, Rao BR, Chandramouli BA, Jayakumar PN, Das BS : Experience with cerebellopontine angle epidermoids. Neurosurgery 40 : 24-30, 1997 https://doi.org/10.1097/00006123-199701000-00004
  11. Nehrkorn H : Ein Fall von meningealer Perlgeschwultst. Beiter. Path Anat 21 : 73-81, 1987
  12. Netsky MG : Epidermoid tumors; review of the literature. Surg Neurol 29 : 477-483, 1988 https://doi.org/10.1016/0090-3019(88)90144-9
  13. Niikawa S, Hara A, Zhang W, Sakai N, Yamada H, Shimokawa K : Proliferative assessment of craniopharyngioma and epidermoid by nucleolar organizer region staining. Childs Nerv Syst 8 : 453-456, 1992 https://doi.org/10.1007/BF00274406
  14. Russel DS, Rubinstein LJ : Pathology of tumours of the Nervous system, ed 4. Williams and Wilkins, 1977, p448
  15. Samii M, Tatagiba M, Piquer J, Carvalho GA : Surgical treatment of epidermoid cysts of the cerebellopontine angle. J Neurosurg 84 : 14-19, 1996 https://doi.org/10.3171/jns.1996.84.1.0014
  16. Yasagil MG, Abernathey CD, Sarioglu AC : Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24 : 561-567, 1989 https://doi.org/10.1227/00006123-198904000-00012