An atypical case of giant intradiploic epidermoid tumor

Intradiploic epidermoid tumors are uncommon and giant epidermoid with dural involvement is scarcer. We report a unique case of a giant frontal epidermoid tumor presenting without typical features of swelling or bulge in scalp. A 61-year-old male presented with the complaints of forgetfulness and headache. Contrast magnetic resonance imaging brain revealed a large left frontal epidermoid tumor. A tumor measuring 13 × 11 × 4 cm, involving the dura but sparing the brain parenchyma, was excised through left frontal craniotomy. Such a presentation of giant epidermoid tumor with dural involvement is highly unusual. Complete surgical excision is the final aim and vigilant follow-up for recurrence is a must.