Tuğberk BAŞTÜRK, Furkan KAYA, Mehmet DURAN

Rüptüre intrakranial dermoid kist

İntrakranial dermoid kistler, yavaş büyümesi nedeniyle büyük boyutlara ulaşabilen, ektodermden kaynaklanan, nadir benign kitlelerdir. Semptomlar genellikle komşu parankim basılanmasına bağlıdır. Spontan intrakranial dermoid kist rüptürü nadir olmakla birlikte ciddi komplikasyonlar (aseptik menenjit, hidrosefali, vasospazm, serebral iskemi gibi) ortaya çıkabilir. Rüptür, bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRG) ile teşhis edilebilir. Biz burada, intrakranial dermoid kist rüptürü olan bir olgunun BT ve MRG bulgularını sunmayı amaçladık.

Ruptured intracranial dermoid cyst

Intracranial dermoid cysts are rare benign masses that originate from the ectoderm that can reach large sizes due to slow growth. Symptoms usually depend on the pressure of the adjacent parenchyma. Spontaneous intracranial dermoid cyst rupture is rare but serious complications (such as aseptic meningitis, hydrocephalus, vasospasm, cerebral ischemia) may occur. Rupture can be diagnosed by computed tomography (CT) and magnetic resonance imaging (MRI). We aimed to present CT and MRI findings of a case with intracranial dermoid cyst rupture.

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Rato RMF, Pappamikail LB, Ratilal BO, Luiz CA. Dermoid tumor of the lateral wall of the cavernous sinus. Surg Neurol Int 2012;3:10.
Lunardi P, Missori P. Supratentorial dermoid cysts. J Neurosurg 1991;75:262-266.
Durmaz MS, Aralaşmak A, Kara T, Karaali K. Rüptüre intrakranial dermoid kist. Ümraniye Tıp Dergisi 2012;5:9-12.
D’amore A, Borderi A, Chiaramonte R, Conte G, Chiaramonte I, Albanese V. CT and MR studies of giant dermoid cyst associated to fat dissemination at the cortical and cisternal cerebral spaces. Case Rep Radiol 2013;239-258.
Venkatesh SK, Phadke RV, Trivedi P, Bannerji D. Asymptomatic spontaneous rupture of suprasellar dermoid cyst: a case report. Neurol India 2002;50:480- 483.
Das CJ, Tahir M, Debnath J, Pangtey GS. Neurological picture. Ruptured intracranial dermoid. J Neurol Neurosurg Psychiatry 2007;78:624-625.
Ray MJ, Barnett DW, Snipes GJ, Layton KF, Opatowsky MJ. Ruptured intracranial dermoid cyst. Proc (Bayl Univ Med Cent) 2012;25:23-25.
Altay H, Kitiş Ö, Çallı C, Yünten N. A spinal dermoid tumor that ruptured into the subarachnoidal space and syrinx cavity. Diagn Interv Radiol 2006;12:171-173.
Patkar D, Krishnan A, Patankar T, Prasad S, Shah J, Limdi J. Ruptured intracranial dermoids: magnetic resonance imaging. J Postgrad Med 1999;45:49-52.
Muçaj S, Ugurel MS, Dedushi K, Ramadani N, Jerliu N. Role of MRI in diagnosis of ruptured intracranial dermoid cyst. Acta Inform Med 2017;25:141-144.
Esquenazi Y, Kerr K, Bhattacharjee MB, Tandon N. Traumatic rupture of an intracranial dermoid cyst: case report and literature review. Surg Neurol Int 2013;4:80.
Rai SP. Ruptured intracranial dermoid cyst. Neurol India 2009;57:98-99.
Wilms G, Casselman J, Demaerel P, Plets C, De Haene I, Baert AL. CT and MRI of ruptured intracranial dermoids. Neuroradiology 1991;33:149-151.
Asil K, Gunduz Y, Ayhan LT, Aksoy YE, Yildiz C. Spontaneous rupture of intracranial dermoid tumor in a patient with vertigo. Computed tomography and magnetic resonance imaging findings. Pol J Radiol 2013;78:79-82.
Karadag D, Karagulle AT, Erden A, Erden I. MR imaging of a ruptured intraspinal dermoid tumour with fat droplets in the central spinal canal. Australas Radiol 2002;46:444-446.
Liu JK, Gottfried ON, Salzman KL, Schmidt RH, Couldwell WT. Ruptured intracranial dermoid cysts: clinical, radiographic, and surgical features. Neurosurgery 2008;62:377-384.
Osborn AG, Preece MT. Intracranial cysts: radiologicpathologic correlation and imaging approach. Radiology 2006;239:650-664.
Bonneville JF. Magnetic resonance imaging of pituitary tumors. Front Horm Res 2016;45:97-120.
Osborn AG, Blaser SI, Salzman KL et al. Diagnostic imaging brain. 2nd ed. Canada: Friesens, 2004;1:22- 25.