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Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report

BACKGROUND: Dermoid cysts are non-neoplastic tumors that arise from defects in the separation of the neuroectoderm. Cyst rupture rarely occurs spontaneously and the most common symptom is headache, followed by seizure. Although many cases of ruptured dermoid cysts present with symptoms, reports of c...

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Autores principales: Kosuge, Yasushi, Onodera, Hidetaka, Sase, Taigen, Uchida, Masashi, Takasuna, Hiroshi, Ito, Hidemichi, Oshio, Kotaro, Tanaka, Yuichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983001/
https://www.ncbi.nlm.nih.gov/pubmed/27520694
http://dx.doi.org/10.1186/s13256-016-1007-3
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author Kosuge, Yasushi
Onodera, Hidetaka
Sase, Taigen
Uchida, Masashi
Takasuna, Hiroshi
Ito, Hidemichi
Oshio, Kotaro
Tanaka, Yuichiro
author_facet Kosuge, Yasushi
Onodera, Hidetaka
Sase, Taigen
Uchida, Masashi
Takasuna, Hiroshi
Ito, Hidemichi
Oshio, Kotaro
Tanaka, Yuichiro
author_sort Kosuge, Yasushi
collection PubMed
description BACKGROUND: Dermoid cysts are non-neoplastic tumors that arise from defects in the separation of the neuroectoderm. Cyst rupture rarely occurs spontaneously and the most common symptom is headache, followed by seizure. Although many cases of ruptured dermoid cysts present with symptoms, reports of cases that are asymptomatic, or where symptoms disappear, are rare. CASE PRESENTATION: We report the case of a 66-year-old Asian man with a history of sudden onset headache who was found to have high amounts of fat material in the subarachnoid space and a fat suppression mass in the left cavernous sinus. He underwent oral steroid therapy. Five days after starting medication his headache symptoms disappeared. Routine neurological imaging was then performed without surgical procedure. Magnetic resonance imaging revealed evidence of the remains of a static lesion 6 months after his first visit. He has remained headache free for 10 months since the initial event. CONCLUSIONS: Although cases of ruptured dermoid cysts presenting with consistent symptoms have been commonly reported, until now there were few reports on asymptomatic cases or cases where symptoms disappeared. We believe that surgical intervention is unnecessary for ruptured dermoid cysts with minimal symptoms.
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spelling pubmed-49830012016-08-14 Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report Kosuge, Yasushi Onodera, Hidetaka Sase, Taigen Uchida, Masashi Takasuna, Hiroshi Ito, Hidemichi Oshio, Kotaro Tanaka, Yuichiro J Med Case Rep Case Report BACKGROUND: Dermoid cysts are non-neoplastic tumors that arise from defects in the separation of the neuroectoderm. Cyst rupture rarely occurs spontaneously and the most common symptom is headache, followed by seizure. Although many cases of ruptured dermoid cysts present with symptoms, reports of cases that are asymptomatic, or where symptoms disappear, are rare. CASE PRESENTATION: We report the case of a 66-year-old Asian man with a history of sudden onset headache who was found to have high amounts of fat material in the subarachnoid space and a fat suppression mass in the left cavernous sinus. He underwent oral steroid therapy. Five days after starting medication his headache symptoms disappeared. Routine neurological imaging was then performed without surgical procedure. Magnetic resonance imaging revealed evidence of the remains of a static lesion 6 months after his first visit. He has remained headache free for 10 months since the initial event. CONCLUSIONS: Although cases of ruptured dermoid cysts presenting with consistent symptoms have been commonly reported, until now there were few reports on asymptomatic cases or cases where symptoms disappeared. We believe that surgical intervention is unnecessary for ruptured dermoid cysts with minimal symptoms. BioMed Central 2016-08-12 /pmc/articles/PMC4983001/ /pubmed/27520694 http://dx.doi.org/10.1186/s13256-016-1007-3 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kosuge, Yasushi
Onodera, Hidetaka
Sase, Taigen
Uchida, Masashi
Takasuna, Hiroshi
Ito, Hidemichi
Oshio, Kotaro
Tanaka, Yuichiro
Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title_full Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title_fullStr Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title_full_unstemmed Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title_short Ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
title_sort ruptured dermoid cyst of the lateral cavernous sinus wall with temporary symptoms: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983001/
https://www.ncbi.nlm.nih.gov/pubmed/27520694
http://dx.doi.org/10.1186/s13256-016-1007-3
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