Suprasellar epidermoid cyst: a rare cause of painless progressive bilateral vision loss-case report with clinico-radiological correlation

Gaurav Chauhan; Vivek Singh; R. V. Phadke; Sapna Yadav

doi:10.18203/2320-6012.ijrms20183668

Authors

Gaurav Chauhan Department of Neuroradiology, SGPGIMS, Lucknow, Uttar Pradesh, India
Vivek Singh Department of Radiology, SGPGIMS, Lucknow, Uttar Pradesh, India
R. V. Phadke Department of Radiology, SGPGIMS, Lucknow, Uttar Pradesh, India
Sapna Yadav Department of Neuroanaesthesia, SGPGIMS, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20183668

Keywords:

Epidermoid cyst, Radiology, Suprasellar, Vision loss

Abstract

Intracranial epidermoid cysts are relatively rare lesions. They result from inclusion of ectodermal elements during time of neural tube closure. This lesion could rarely be acquired due to post-surgical or post traumatic implantation of the ectodermal components. They typically present in middle age group patients with evidence of loco-regional mass effect on adjacent structures. We present a clinico-radiological case report of the 27-year-old female patient who presented with painless progressive bilateral vision loss for last 4 months.

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References

Chowdhury FH, Haque MR, Sarker MH. Intracranial epidermoid tumor; Microneurosurgical management: An experience of 23 cases. Asian J Neurosurg. 2013;8:21-8.

Ren X, Lin S, Wang Z, Luo L, Jiang Z, Sui D, et al. Clinical, radiological, and pathological features of 24 atypical intracranial epidermoid cysts. J Neurosurg. 2012;116:611-21.

Schiefer TK, Link MJ. Epidermoids of the cerebellopontine angle: A 20-year experience. Surg Neurol. 2008;70:584-90.

Kato K, Ujiie H, Higa T, Hayashi M, Kubo O, Okada Y, et al. Clinical presentation of intracranial epidermoids: A surgical series of 20 initial and four recurred cases. Asian J Neurosurg. 2010;5:32-40.

Osborn AG, Preece MT. Intracranial cysts: Radiologic-pathologic correlation and imaging approach. Radiology. 2006;239:650-64.

Kallmes DF, Provenzale JM, Cloft HJ, McClendon RE. Typical and atypical MR imaging features of intracranial epidermoid tumors. AJR Am J Roentgenol. 1997;169:883-7.

Russell D, Rubinstein LJ. Congenital tumours of maldevelopmental origin. In: Pathology of the nervous system. Baltimore: Williams and Wilkins. 1977:24-64.

Bauman CH, Bucy PC. Paratrigeminal epidermoid tumors. J Neurosurg. 1956;13:455-68.

Abramson RC, Morawetz RB, Schli HM. Multiple complications from an intracranial epidermoid cyst: Case report and literature review. Neurosurg. 1989;24:574-8.

Alvord EC Jr. Growth rates of epidermoid tumours. Ann Neurol. 1997;2:367-70.

Hakyemez B, Aksoy U, Yildiz H, Ergin N. Intracranial epidermoid cysts: Diffusion-weighted, FLAIR and conventional MR findings. Eur J Radiol. 2005;54:214-220.

Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System. 4th ed. Baltimore: Williams and Wilkins; 1977:29-32.

Sartoretti-Schefer S, Wichmann W, Aguzzi A, Valavanis A. MR differentiation of adamantinous and squamous-papillary craniopharyngiomas. Am J Neuroradiol. 1997 Jan 1;18(1):77-87.

Osborn AG, Preece MT. Intracranial cysts: Radiologic-pathologic correlation and imaging approach. Radiology. 2006;239(3):650-64.

Yamakawa K, Shitara N, Genka S, Manaka S, Takakura K. Clinical course and surgical prognosis of 33 cases of intracranial epidermoid tumours. Neurosurgery. 1989;24:568-73.