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Intracranial epidermoids
1Department of Neurosurgery, G. R. Medical College and J. A. Group of Hospitals, Gwalior, M.P., India.
Neurology India
|March 16, 2018
Summary
This review of intracranial epidermoid tumors found that symptoms of increased intracranial pressure were common. Computed tomography scans often revealed low-attenuating lesions, indicating these tumors.
Area of Science:
- Neurosurgery
- Neuroradiology
- Neurology
Background:
- Intracranial epidermoid tumors are rare congenital tumors, often presenting with nonspecific neurological symptoms.
- Diagnosis and management require detailed neuroimaging and surgical consideration.
Purpose of the Study:
- To review a series of intracranial epidermoid tumors over a 20-year period.
- To analyze clinical presentations, diagnostic findings, and imaging characteristics.
Main Methods:
- Retrospective review of 22 cases of intracranial epidermoid tumors.
- Analysis of patient demographics, symptom duration, clinical findings, and neuroimaging results (CT, Myodil ventriculogram, carotid angiography).
Main Results:
- Patient age ranged from 7 to 62 years, with symptom duration of 6 months to 5 years.
- Common presenting symptoms included signs of raised intracranial pressure, with papilledema being the most frequent neurological finding.
- Computed tomography (CT) demonstrated low-attenuating lesions in 14 out of 15 cases; one case showed a high-attenuating lesion. Other imaging modalities indicated avascular masses.
Conclusions:
- Intracranial epidermoid tumors frequently manifest with symptoms of increased intracranial pressure.
- CT is valuable in characterizing these lesions, typically showing low attenuation.
- Early diagnosis and appropriate management are crucial for favorable outcomes.
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