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Indian Journal of Neurotrauma 2014; 11(02): 175-177
DOI: 10.1016/j.ijnt.2014.09.001
Letter to the Editor
Thieme Medical and Scientific Publishers Private Ltd.

Ruptured intradiploic dermoid cyst into an extra dural hematoma in a traumatic brain injury patient

Sudhansu Sekhar Mishra
,
Deepak Das
,
Srikanta Das
,
Souvagya Panigrahi
Subject Editor:
Further Information

Publication History

18 April 2014

Publication Date:
06 April 2017 (online)

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Abstract

Traumatic rupture of occipital dermoid cyst into the extra dural hematoma (EDH) is an extremely rare event leading to management difficulty. We report an interesting case of ruptured intradiploic dermoid cyst into EDH in a 62 year-old male who presented with history of moderate head injury due to assault along with rupture of a pre-existing occipital dermoid cyst. On surgery, a ruptured cystic mass was encountered which was in communication with the extradural space being filled with blood clot and cheesy white pultaceous sebaceous material. Traumatic brain injury in our case caused rupture of the dermoid leading to dissemination of cyst material into the extradural space as well as out of the scalp surface confusing with leaking brain matter. Judicious and timely surgical intervention is warranted in such cases for optimal clinical outcome.

Keywords

Traumatic rupture - Calvarial dermoid - Extra dural hematoma - Meningitis
 

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