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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
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
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.
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