CRANIAL DERMOID AND EPIDERMOID TUMORS

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Mumtaz Ali
Khalid Khanzada
Hamzullah Khan
Shahid Ayub
Khalid Mehmood
Inayat Shah Roghani
Said Rehman

Abstract

Objective: To assess the surgical out come of patients with intracranial epidermoid / dermoid tumors.

Material and Methods: This descriptive observational study was conducted in department of

Neurosurgery, Lady Reading Hospital Peshawar from May 2003 to March 2007. Patient with radiologically

diagnosed epidermoid / dermoid tumors based on CT and MRI findings were selected. Detailed history and

clinical features along with radiological findings were documented. Operative and histopathological details

were noted.

Results: A total of 13 patients with dermoid / epidermoid tumor were analyzed. There were 8 males and 5

females with age ranged for 4 to 48 years with mean age of 30.2+13 years. The clinical features like

trigeminal neuralgia, dimness of vision and papilloedema were commonly noted. Four lesions were

supratentorial and 09 were infra-tentorial. In supratentorail tumors, two were in sylvian fissure, one in

temporal, and one in lateral ventricular area. Among infratentorial, 6 were in cerebello-pontine angle and

3 were in midline fourth ventricular area. Histological findings showed epidermoid in 10 and dermoid in

03 cases. Postoperative complications noted were CSF leakage in 2 (15.4%) cases, seizures and facial

palsy in 1 patient (7.7%) each. Two patients died during the study period due to post operative

complications.

Conclusion: Dermoid / epidermoid are tumors of 2nd and 3rd decade of life, midline are dermoid while

laterally located are epidermoid tumors. Safe resection is the only treatment option available.

Article Details

How to Cite
1.
Ali M, Khanzada K, Khan H, Ayub S, Mehmood K, Roghani IS, Rehman S. CRANIAL DERMOID AND EPIDERMOID TUMORS. J Postgrad Med Inst [Internet]. 2011 Aug. 15 [cited 2024 Mar. 28];22(1). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/245
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Original Article

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