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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(04): 317-320
DOI: 10.1055/s-0035-1564693
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil.

Atypical Presentation of Temporal Dermoid Cyst: Case Report

Apresentação atípica de cisto dermoide temporal: caso clínico
Sérgio Gonçalves da Silva Neto
1   Neurosurgery Resident Hospital das Clínicas, São Paulo Medical School, Universidade de São Paulo (HC-FM-USP), São Paulo, SP, Brazil
,
Thiago Martins
1   Neurosurgery Resident Hospital das Clínicas, São Paulo Medical School, Universidade de São Paulo (HC-FM-USP), São Paulo, SP, Brazil
,
Leonardo Moura
1   Neurosurgery Resident Hospital das Clínicas, São Paulo Medical School, Universidade de São Paulo (HC-FM-USP), São Paulo, SP, Brazil
,
Clemar Correa
2   Functional Neurosurgery Department, Psychiatry Institute, HC-FM-USP, São Paulo, SP, Brazil
,
Wellingson Paiva
2   Functional Neurosurgery Department, Psychiatry Institute, HC-FM-USP, São Paulo, SP, Brazil
,
Hector Navarro
2   Functional Neurosurgery Department, Psychiatry Institute, HC-FM-USP, São Paulo, SP, Brazil
,
Manoel Jacobsen Teixeira
3   Department of Neurosurgery, Universidade de São Paulo, São Paulo, SP, Brazil
› Author Affiliations
Further Information

Publication History

09 May 2013

07 August 2015

Publication Date:
13 October 2015 (online)

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Abstract

Dermoid account for 0.04–0.06% of intracranial tumors. The rupture of these slow-growing lesions are a rare event, generally taking place spontaneously. Their presentation are clinically variable according to cyst topography and integrity. Surgery remains the first-line therapy and gross total resection should be attempted if feasible. We report on a case of a 22-year-old male with a 2-year history of seizures and cognitive impairment and a temporal mesial dermoid cyst successfully treated with gross total resection microsurgery.

Resumo

Os Cistos dermoides compreendem 0,04–0,06% dos tumores intracranianos. É uma lesão de crescimento lento, e sua ruptura é um evento raro e espontâneo. A variabilidade clínica vai de acordo com a topografia do cisto e sua integridade. A cirurgia continua a ser a terapia de primeira linha, e a ressecção total é a opção sempre que for possível. Os autores relatam um caso de paciente com 22 anos de idade com histórico de 2 anos de convulsões e comprometimento cognitivo e diagnosticado com um cisto dermoide mesial temporal, tratado com sucesso com ressecção microcirúrgica.

Keywords

dermoid cyst - seizures - brain tumor

Palavras-chave

cisto dermoide - crise convulsiva - tumor cerebral
 

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