[Epidermoid cyst of the third ventricle. Report of a case]. / Kyste épidermoïde du troisième ventricule. Une observation.
Neurochirurgie
; 44(4): 283-6, 1998 Nov.
Article
em Fr
| MEDLINE
| ID: mdl-9864702
We report a case of epidermal (or epidermoid) cyst, in a 36-year-old man which developed in the third ventricle. Clinical manifestations were headaches and memory disturbances. On CT scan the tumor occupied the entire third ventricle but was mainly developed on the left side. On CT reconstructed images, the floor of the third ventricle was clearly visible. Using a trans-ventricular approach, the tumor, closely related to the left part of hypothalamus, was totally removed. Later on, because of persistent hydrocephalus, a ventricular shunt was inserted. An aseptic meningitis occurred and resolved spontaneously. The patient exhibited a postoperative transitory Korsakoff's syndrome. Postoperative endocrine investigations showed hypopituitarism. Some intra-ventricular epidermal cysts have been reported, especially involving the fourth ventricle. Their development into the third ventricle is unusual, and in early reports their precise origin appears doubtful. Although they have no characteristic radiological features, the location of epidermal cysts is clearly defined by the CT scan and especially MRI. It would be possible to totally remove epidermal cysts of the third ventricle, avoiding the risk of recurrence.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ventrículos Cerebrais
/
Cisto Epidérmico
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Animals
/
Humans
/
Male
Idioma:
Fr
Revista:
Neurochirurgie
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
Martinica
País de publicação:
França