Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection

Local recurrence after epidermoid cyst surgery is a frequently reported complication, but intraventricular spread after surgery has not yet been described in literature. We present the case of a 61-year-old male patient with steadily progressive headaches after surgical excision of an epidermoid cys...

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Autores principales:	Michael Städt, MD, Markus Holtmannspötter, MD, Alberto Nania, MD, Leonard Ritter, MUDr, Heinz Voit-Höhne, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Epidermoid cyst Aseptic meningitis Intraventricular spread Cerebellopontine angle Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/909e15de94de4e96a755171ac46f76b2
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spelling	oai:doaj.org-article:909e15de94de4e96a755171ac46f76b22021-11-30T04:14:59ZCase report: Scattered intraventricular lesions on MRI following epidermoid cyst resection1930-043310.1016/j.radcr.2021.09.067https://doaj.org/article/909e15de94de4e96a755171ac46f76b22022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007147https://doaj.org/toc/1930-0433Local recurrence after epidermoid cyst surgery is a frequently reported complication, but intraventricular spread after surgery has not yet been described in literature. We present the case of a 61-year-old male patient with steadily progressive headaches after surgical excision of an epidermoid cyst in the right cerebellopontine angle about two months ago. The MRI showed multiple intraventricular FLAIR-hyperintensities with diffusion restriction, suggestive of scattered remnants of the epidermoid cyst. We recommend early postoperative MRI-scans after cranial epidermoid surgery, which should be carefully inspected not only for local remnants but also rare complications like intraventricular spread.Michael Städt, MDMarkus Holtmannspötter, MDAlberto Nania, MDLeonard Ritter, MUDrHeinz Voit-Höhne, MDElsevierarticleEpidermoid cystAseptic meningitisIntraventricular spreadCerebellopontine angleMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 190-193 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Epidermoid cyst Aseptic meningitis Intraventricular spread Cerebellopontine angle Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Epidermoid cyst Aseptic meningitis Intraventricular spread Cerebellopontine angle Medical physics. Medical radiology. Nuclear medicine R895-920 Michael Städt, MD Markus Holtmannspötter, MD Alberto Nania, MD Leonard Ritter, MUDr Heinz Voit-Höhne, MD Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
description	Local recurrence after epidermoid cyst surgery is a frequently reported complication, but intraventricular spread after surgery has not yet been described in literature. We present the case of a 61-year-old male patient with steadily progressive headaches after surgical excision of an epidermoid cyst in the right cerebellopontine angle about two months ago. The MRI showed multiple intraventricular FLAIR-hyperintensities with diffusion restriction, suggestive of scattered remnants of the epidermoid cyst. We recommend early postoperative MRI-scans after cranial epidermoid surgery, which should be carefully inspected not only for local remnants but also rare complications like intraventricular spread.
format	article
author	Michael Städt, MD Markus Holtmannspötter, MD Alberto Nania, MD Leonard Ritter, MUDr Heinz Voit-Höhne, MD
author_facet	Michael Städt, MD Markus Holtmannspötter, MD Alberto Nania, MD Leonard Ritter, MUDr Heinz Voit-Höhne, MD
author_sort	Michael Städt, MD
title	Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
title_short	Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
title_full	Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
title_fullStr	Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
title_full_unstemmed	Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection
title_sort	case report: scattered intraventricular lesions on mri following epidermoid cyst resection
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/909e15de94de4e96a755171ac46f76b2
work_keys_str_mv	AT michaelstadtmd casereportscatteredintraventricularlesionsonmrifollowingepidermoidcystresection AT markusholtmannspottermd casereportscatteredintraventricularlesionsonmrifollowingepidermoidcystresection AT albertonaniamd casereportscatteredintraventricularlesionsonmrifollowingepidermoidcystresection AT leonardrittermudr casereportscatteredintraventricularlesionsonmrifollowingepidermoidcystresection AT heinzvoithohnemd casereportscatteredintraventricularlesionsonmrifollowingepidermoidcystresection
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Case report: Scattered intraventricular lesions on MRI following epidermoid cyst resection

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