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Asymptomatic rupture of an intracranial dermoid cyst: to intervene or not to intervene?

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Dermoid cysts are an exceedingly rare phenomenon inside the cranial vault. These benign, slow-growing lesions can rupture, releasing cyst contents into the ventricular system and subarachnoid space causing pathology in… Click to show full abstract

Dermoid cysts are an exceedingly rare phenomenon inside the cranial vault. These benign, slow-growing lesions can rupture, releasing cyst contents into the ventricular system and subarachnoid space causing pathology in the form of chemical meningitis and vasospasm. Here, we present the case of a 26-year-old man who was investigated for a facial nerve palsy and was incidentally found to have a ruptured dermoid cyst in the pineal region, with dissemination of cyst contents throughout the ventricular system.

Keywords: cyst; intervene; rupture intracranial; dermoid cyst; asymptomatic rupture

Journal Title: BMJ Case Reports
Year Published: 2022

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