scholarly journals Intracranial epidermoid cyst

2021 ◽  
Author(s):  
Ashesh Ranchod
1981 ◽  
Vol 5 (3) ◽  
pp. 433-435 ◽  
Author(s):  
Philip J. Dubois ◽  
Michael Sage ◽  
J. Scott Luther ◽  
Peter C. Burger ◽  
E. Ralph Heinz ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yuichiro Yoneoka ◽  
Yasuhiro Seki ◽  
Katsuhiko Akiyama ◽  
Yuki Sakurai ◽  
Nobumasa Ohara ◽  
...  

Prolonged postoperative pyrexia (PPP) due to Mollaret’s meningitis following endoscopic transsphenoidal surgery (eTSS) for an intracranial epidermoid cyst can be confused with postoperative meningeal infection after transsphenoidal resection, especially in the middle of the COVID-19 pandemic. Anosmia, as well as dysgeusia, cannot be evaluated in patients of eTSS for a while after surgery. We report a case of an infundibular epidermoid cyst with post-eTSS Mollaret’s meningitis (MM). The post-eTSS MM caused vasopressin-analogue-resistant polyuria (VARP) in synchronization with PPP. A 59-year-old man experiencing recurrent headaches and irregular bitemporal hemianopsia over three months was diagnosed with a suprasellar tumor. The suprasellar tumor was an infundibular cyst from the infundibular recess to the posterior lobe of the pituitary, which was gross-totally resected including the neurohypophysis via an extended eTSS. Since awakening from general anesthesia after the gross total resection (GTR) of the tumor, the patient continuously had suffered from headache until the 13th postoperative day (POD13). The patient took analgesics once a day before the surgery and three times a day after the surgery until POD11. Pyrexia (37.5–39.5 degree Celsius) in synchronization with nonnephrogenic VARP remitted on POD18. Intravenous antibiotics had little effect on changes of pyrexia. Serum procalcitonin values (reference range <0.5 ng/mL) are 0.07 ng/mL on POD12 and 0.06 ng/mL on POD18. His polyuria came to react with sublingual desmopressin after alleviation of pyrexia. He left the hospital under hormone replacement therapy without newly added neurological sequelae other than hypopituitarism. After GTR of an infundibular epidermoid cyst, based on values of serum procalcitonin, post-eTSS MM can be distinguished from infection and can be treated with symptomatic treatments. The postoperative transient nonnephrogenic VARP that differs from usual central diabetes insipidus can react with sublingual desmopressin after alleviation of PPP in the clinical course of post-eTSS MM. An infundibular epidermoid cyst should be sufficiently resected in one sitting to minimize comorbidities, its recurrence, or postoperative MM to the utmost.


2019 ◽  
Vol 21 (2) ◽  
pp. 85
Author(s):  
Kavita Raja ◽  
DinoopKorol Ponnambath ◽  
PatelBiren Khimji ◽  
JyothiEmbekkat Kaviyil ◽  
GeorgeC Vilanilam ◽  
...  

2019 ◽  
Vol 12 (7) ◽  
pp. e229388
Author(s):  
Zhe Chen ◽  
Masayuki Araya ◽  
Hiroshi Onishi

We report the first clinical case on the successful use of proton beam therapy in the management of malignant transformation of intracranial epidermoid cyst. A 43-year-old man was initially diagnosed as this disease with left facial paresis, hypesthesia and hypoalgesia in the territories of the trigeminal nerve. After failure of surgical interventions, he was referred to our radiation centre. We performed a postoperative proton beam therapy for treatment. We delivered a total dose of 57 GyE in 31 fractions. He tolerated the treatment well with mild acute toxicities and remained healthy and functional by 2-year follow-up postradiotherapy. No evidence of delayed radiation-induced neurotoxicity was observed.


2003 ◽  
Vol 129 (1) ◽  
pp. 89-92 ◽  
Author(s):  
M. Peters ◽  
K. Brandt ◽  
P. Wohlsein

1997 ◽  
Vol 37 (11) ◽  
pp. 861-864 ◽  
Author(s):  
Hideo TSURUSHIMA ◽  
Takao KAMEZAKI ◽  
Yuji TOMONO ◽  
Tadao NOSE

2019 ◽  
Vol 18 ◽  
pp. 100500
Author(s):  
Agung Budi Sutiono ◽  
Roland Sidabutar ◽  
Eriel Sandika Pareira ◽  
Masahiro Toda ◽  
Kazunari Yoshida

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