OJMN  Vol.4 No.3 , July 2014
An Intragaleal Frontal Dermoid Cyst: A Location Never Reported
ABSTRACT

All dermoid cysts arising at the cranial vault had been reported as being located subgaleally, i.e. under the galea aponeurotica or epicranium. We are presenting a case that we believe to be the first case of an intragaleal dermoid cyst ever reported. An eighteen years old girl presented at our consultation for a midline frontal swelling evolving since 2 years. Neurological examination was normal. The Computed Tomography (CT) scan showed a round shaped heterogeneous mass at the vertex with no intracranial extension. The lesion was excised surgically. It appeared to be located intragaleally (within the epicranium) and composed of hairs and liquefied fat evocative of a dermoid cyst. The diagnosis of dermoid cyst was confirmed on histology. Postoperative outcome was excellent and the patient is symptom-free 16 months after surgery.


Cite this paper
Ndoumbe, A. , Nkegoum, B. , Motah, M. and Takongmo, S. (2014) An Intragaleal Frontal Dermoid Cyst: A Location Never Reported. Open Journal of Modern Neurosurgery, 4, 121-125. doi: 10.4236/ojmn.2014.43021.
References
[1]   Adeloye, A. and Latunde Odeku, E. (1971) Congenital Subgaleal Cysts over the Anterior Fontanelle in Nigerians. Archives of Diseases in Childhood, 46, 95-98.
http://dx.doi.org/10.1136/adc.46.245.95

[2]   Adachi, K., Ishii, N., Takahashi, H. and Teramoto, A. (2012) Congenital Dermoid Cyst at the Anterior Fontanelle: Neuroimaging before and after Fontanelle Closure. Journal of Nippon Medical School, 79, 291-295.
http://dx.doi.org/10.1272/jnms.79.291

[3]   Velho, V.L., Khan, S.W., Agarwal, A. and Sharma, M. (2012) Intra-Axial CNS Dermoid Cyst. Asian Journal of Neurosurgery, 7, 42-44.

[4]   Rato, R.M.F., Pappamikail, L.B., Ratilal, B.O. and Luiz, C.V. (2012) Dermoid Tumor of the Lateral Wall of the Cavernous Sinus. Surgical Neurology International, 3, 10.
http://dx.doi.org/10.4103/2152-7806.92180

[5]   Al-Muhaimeed, H.S., Abdelwahed, H.Y., Elgamal, E.A., Alokby, G.M., Biannasser, A.M. and Ashraf, M.M. (2012) Extradural Dermoid Cyst of the Mastoid Bone: A Case Report. Case Reports in Otolaryngology, 2012, Article ID: 548340.
http://dx.doi.org/10.1155/2012/548340

[6]   Caldarelli, M., Massimi, L., Kondageski, C. and Di Rocco, C. (2004) Intracranial Midline Dermoid and Epidermoid Cysts in Children. Journal of Neurosurgery, 100, 473-480.

[7]   De Carvalho, G.I., Fagundes-Pereyra, W.J., Marques, J.A., Dantas, F.L. and De Sousa, A.A. (2001) Congenital Inclusion Cysts of the Anterior Fontanelle. Surgical Neurology, 56, 400-405.
http://dx.doi.org/10.1016/S0090-3019(01)00621-8

[8]   Gormley, W.B., Tomecek, F.J., Qureshi, N. and Malik, G.M. (1994) Craniocerebral Epidermoid and Dermoid Tumours: A Review of 32 Cases. Acta Neurochirurgica (Wien), 128, 115-121.
http://dx.doi.org/10.1007/BF01400660

[9]   Hashiguchi, K., Morioka, T., Yokohama, N., Mihara, F. and Sasaki, T. (2005) Subgaleal Dermoid Tumors at the Anteriror Fontanelle. Pediatric Neurosurgery, 41, 54-57.
http://dx.doi.org/10.1159/000084868

[10]   Chater-Cure, G., Hoffman, C., Knopman, J., Rhee, S. and Souweidane, M.M. (2011) Endoscopy-Assisted Removal of Periorbital Inclusion Cysts in Children. Journal of Neurosurgery: Pediatrics, 7, 161-164.

[11]   Maurice, S.M. and Burstein, F.D. (2012) Disappearing Dermoid: Fact or Fiction? Journal of Craniofacial Surgery, 23, 31-33.
http://dx.doi.org/10.1097/SCS.0b013e3182420981

[12]   Pryor, S.G., Lewis, J.E., Weaver, A.L. and Orvidas, L.J. (2005) Pedriatric Dermoid Cysts of the Head and Neck. Otolaryngology—Head and Neck Surgery, 132, 938-942.
http://dx.doi.org/10.1016/j.otohns.2005.03.005

[13]   Nicolau, A., Daney, I., Diard, F., Risch, M. and Kind, M. (1986) Midline Subepicranial (Subgaleal) Dermoid Cysts in Children. Report of 6 Cases and Review of the Literature. Annales de Radiologie (Paris), 29, 511-518.

[14]   Chaudhari, A.B., Rosenthal, A.D. and Lippa, S. (1984) Congenital Inclusion Cysts of the Subgaleal Space. Surgical Neurology, 21, 61-66.
http://dx.doi.org/10.1016/0090-3019(84)90403-8

[15]   Sorenson, E.P., Powell, J.E., Rozelle, C.J., Tubbs, R.S. and Loukas, M. (2013) Scalp Dermoids: A Review of Their Anatomy, Diagnosis and Treatment. Child’s Nervous System, 29, 375-380.
http://dx.doi.org/10.1007/s00381-012-1946-y

[16]   Liu, H., Zhang, J.N. and Zhu, T. (2012) Microsurgical Treatment of Spinal Epidermoid and Dermoid Cysts in the Lumbosacral Region. Journal of Clinical Neuroscience, 19, 712-717.
http://dx.doi.org/10.1016/j.jocn.2011.07.046

[17]   Wood, J., Couture, D. and David, L.R. (2012) Midline Dermoid Cyst Resulting in Frontal Bone Erosion. Journal of Craniofacial Surgery, 23, 131-134.
http://dx.doi.org/10.1097/SCS.0b013e318240fe5e

[18]   Patnaik, A., Mishra, S.S. and Senapati, S.B. (2012) Giant Intradiploic Cyst of the Frontal Bone Sinus in an Eldery. Neurology India, 69, 542-543.
http://dx.doi.org/10.4103/0028-3886.103218

 
 
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