Mehmet HAMAMCI, Melih PEKCAN, Mehmet Çağlar ÖZGÜR, Refah SAYIN

HİDROSEFALİYE YOL AÇAN DERMOİD KİST OLGUSU The Case of Dermoid Cyst Causing Hydrocephalus

İntrakranial dermoid kistler nadir görülen, selim, yavaş büyüyen ektodermal hücrelerin inklüzyonlarındanköken alan lezyonlardır. Genellikle asemptomatiktirler; semptomatik olduklarındarüptüre olurlar. Bu durumda kafaiçi basınç artışına, hidrosefaliye, aseptik menenjite veepilepsiye yol açabilirler.Uzun zamandır olan ancak son 2 aydır sabahları daha belirgin olmak üzere günün her saatindede devam eden sıkıştırıcı tarzda, bulantı-kusmanın ve otonom bulgularının eşlik etmediği,aura ve foto-fonofobinin olmadığı atipik baş ağrısı tarif eden 17 yaşında bayan hasta Nörolojipolikliniğine başvurdu. Yapılan nörolojik muayenede fundusta venöz dolgunluk dışında patolojisaptanmadı. Atipik baş ağrısı olan hastaya sekonder baş ağrısı nedeniyle beyin bilgisayarlıtomografisi çekildi ve dermoid kiste bağlı hidrosefali bulguları saptandı.Nadir olarak görülen ve görüldüğünde rüptürle sonuçlanan atipik baş ağrısıyla presente 17yaşındaki bayan hastayı sunmayı değer bulduk.Anahtar Sözcu¨kler: Dermoid Kist; Hidrosefali; Baş ağrısı; Frontal lobABSTRACTIntracranial dermoid cysts are rarely seen, benign and slowly growing lessions origining fromectodermal cells. Although they usually behave asymptomatic, often rupture is seen whenthey become sympthomatic resulting with an increase in intracranial pressure, hydrosephalus,aseptic menengitis and epilepsy.A 17 year old female applied to the neurology department with an atypical headache withouta photo-phonofobia and aura. The patient had suffered from this headache for a very longtime but for the last two months headache had become more evident all day long especiallyin the morning hours turning out to be more tensive during this period, and autonom findings,vomiting and nausea was not accompanying to headache. In the physical examination, nopathology were determined except venous distension in fundus. A cranial computerizedtomography was applied to the patient suffering from atypic headache due to the secondaryheadache causes, and a hydrocephalus resulting from a dermoid cyst was determied.We aimed to present a case of a dermoid cyst, which is rareley seen and have a high risk ofrupture when becoming symptomatic, causing an atypic headache in a 17 year old femalepatient.Keywords: Dermoid Cyst; Hydrocephalus; Headache; Frontal Lobe

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HİDROSEFALİYE YOL AÇAN DERMOİD KİST OLGUSU The Case of Dermoid Cyst Causing Hydrocephalus

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