Epidermoid Cyst of the Fourth Ventricle
作者:
BretPh.,
RemondJ.,
FischerC.,
FischerG.,
KzaizM.,
期刊:
British Journal of Neurosurgery
(Taylor Available online 1988)
卷期:
Volume 2,
issue 1
页码: 109-113
ISSN:0268-8697
年代: 1988
DOI:10.3109/02688698808999667
出版商: Taylor&Francis
关键词: Epidermoid cyst;cholestealoma;fourth ventricle
数据来源: Taylor
摘要:
The case of a 52-year-old patient with a fourth ventricle epidermoid is reported. The initial presentation included longstanding headaches, progressive anomalies of gait and slight impairment of mentation. CT showed a hypodense mass enhancing peripherally after contrast infusion. Brain auditory evoked responses (BAER) showed asymmetric increased latencies. At operation, total removal of an extensive fourth ventricle epidermoid was achieved. A delayed meningitis occurred postoperatively. Physical examination was normal at the 2 year follow-up and BAER were improved.The etiological and clinical features of fourth ventricular epidermoids are briefly reviewed. The diagnostic value of CT is emphasised but the possibility of CT-dense epidermoid cysts deserves a special mention. Total removal of the neoplasm is the theoretical aim of operative treatment, but this purpose may be harmful when the ventricular floor is involved by the capsule.
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