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Intracranial epidermoids.

M L Sharma1, N D Vaishya1

  • 1Department of Neurosurgery, G. R. Medical College and J. A. Group of Hospitals, Gwalior, M.P., India.

Neurology India
|March 16, 2018
PubMed
Summary
This summary is machine-generated.

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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:

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  • 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.