PDF herunterladen
CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(01): 097-100
DOI: 10.1055/s-0040-1719006
Case Report | Relato de Caso

An Unusual Dermoid Cyst of the Pineal Region: Case report in a Child

Cisto dermóide incomum da região da pineal: Relato de caso em uma criança
Mohammad Jamali 
1   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
,
Iman Ahrari 
1   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
,
Arash Saffarrian 
1   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
,
Keyvan Eghbal 
1   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
,
Abbas Rakhsha 
1   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
,
Sulmaz Ghahramani 
2   Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

Abstract

Introduction The pineal gland is a common location for intracranial germ cells, but dermoids are not commonly observed in this area. In the present paper, we discuss the clinical and radiological features as well as the treatment and outcome of this cyst in a 6-year- old child with a pineal dermoid cyst.

Case Presentation The patient presented with chronic headache 6 months before admission in 2018. On the first admission, an enhanced lesion with a small cyst was detected in brain imaging. Magnetic resonance imaging (MRI) of the brain at follow-up (2 months after the first presentation) showed enlargement of the cyst size with compression on the adjacent structures. Radical excision of the tumor was performed after the endoscopic biopsy due to pressure exerted on the adjacent structures.

Conclusion Dermoid cyst should be considered as a differential diagnosis for enhanced lesions of the pineal region.

Resumo

Introdução A glândula pineal é uma localização comum para as células germinativas intracranianos, mas dermoids não são frequentemente observados nesta área. No presente artigo, discutimos as características clínicas e radiológicas, bem como o tratamento e a evolução desse cisto em uma criança de 6 anos com cisto dermóide pineal.

Apresentação do caso O paciente apresentou cefaleia crônica 6 meses antes da admissão em 2018. Na primeira admissão, uma lesão acentuada com um pequeno cisto foi detectada na imagem do cérebro. A ressonância magnética (RM) do cérebro no seguimento (2 meses após a primeira apresentação) mostrou aumento do tamanho do cisto com compressão das estruturas adjacentes. A excisão radical do tumor foi realizada após a biópsia endoscópica devido à pressão exercida nas estruturas adjacentes.

Conclusão O cisto dermóide deve ser considerado um diagnóstico diferencial para lesões acentuadas da região pineal.

Keywords

dermoid cyst - pineal tumor - hydrocephalus - hairy structure

Palavras-chave

cisto dermoide - tumores da região pineal - hidrocefalia - estrutura cabeluda


Publikationsverlauf

Eingereicht: 21. Juli 2020

Angenommen: 04. September 2020

Artikel online veröffentlicht:
26. November 2020

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 1977; 47 (01) 12-18
    CrossrefPubMedGoogle Scholar
  • 2 Smirniotopoulos JG, Chiechi MV. Teratomas, dermoids, and epidermoids of the head and neck. Radiographics 1995; 15 (06) 1437-1455
    CrossrefPubMedGoogle Scholar
  • 3 Groen RJ, van Ouwerkerk WJ. Cerebellar dermoid tumor and occipital meningocele in a monozygotic twin: clues to the embryogenesis of craniospinal dysraphism. Childs Nerv Syst 1995; 11 (07) 414-417
    CrossrefPubMedGoogle Scholar
  • 4 Higashi S, Takinami K, Yamashita J. Occipital dermal sinus associated with dermoid cyst in the fourth ventricle. AJNR Am J Neuroradiol 1995; 16 (04) 945-948
    PubMedGoogle Scholar
  • 5 Logue V, Till K. Posterior fossa dermoid cysts with special reference to intracranial infection. J Neurol Neurosurg Psychiatry 1952; 15 (01) 1-12
    CrossrefPubMedGoogle Scholar
  • 6 Akhaddar A, Jiddane M, Chakir N, El Hassani R, Moustarchid B, Bellakhdar F. Cerebellar abscesses secondary to occipital dermoid cyst with dermal sinus: case report. Surg Neurol 2002; 58 (3-4): 266-270
    CrossrefPubMedGoogle Scholar
  • 7 Jennings MT, Gelman R, Hochberg F. Intracranial germ-cell tumors: natural history and pathogenesis. J Neurosurg 1985; 63 (02) 155-167
    CrossrefPubMedGoogle Scholar
  • 8 Baykaner MK, Ergun E, Cemil B, Bayik P, Emmez H. A mature cystic teratoma in pineal region mimicking parietal encephalocele in a newborn. Childs Nerv Syst 2007; 23 (05) 573-576
    CrossrefPubMedGoogle Scholar
  • 9 Kahilogullari G, Yakar F, Bayatli E, Erden E, Meco C, Unlu A. Endoscopic removal of a suprasellar dermoid cyst in a pediatric patient: a case report and review of the literature. Childs Nerv Syst 2018; 34 (08) 1583-1587
    CrossrefPubMedGoogle Scholar
  • 10 Brown JY, Morokoff AP, Mitchell PJ, Gonzales MF. Unusual imaging appearance of an intracranial dermoid cyst. AJNR Am J Neuroradiol 2001; 22 (10) 1970-1972
    PubMedGoogle Scholar
  • 11 Sanchez-Mejia RO, Limbo M, Tihan T, Galvez MG, Woodward MV, Gupta N. Intracranial dermoid cyst mimicking haemorrhage. J Neurosurg 2006; 105 (04) 311
    PubMedGoogle Scholar
  • 12 Shah A, Sadasivan B, Leng BM, Ho J. A teratocarcinoma developing after gross total excision of a pineal teratoma in a patient with systemic lupus erythematosus. Neurol Res 1995; 17 (03) 229-232
    CrossrefPubMedGoogle Scholar
  • 13 Osborn AG, Preece MT. Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology 2006; 239 (03) 650-664
    CrossrefPubMedGoogle Scholar
  • 14 Hassani FD, Bouchaouch A, El Fatemi N, Gana R, El Abbadi N, Maaqili MR. Pineal epidermoid cyst: case report and review of the literature. Pan Afr Med J 2014; 18 (01) 259
    PubMedGoogle Scholar
  • 15 Konovalov AN, Spallone A, Pitzkhelauri DI. Pineal epidermoid cysts: diagnosis and management. J Neurosurg 1999; 91 (03) 370-374
    CrossrefPubMedGoogle Scholar
  • 16 Hudgins RJ, Hudgins PA. Pineal Region Tumors in Children. Contemp Neurosurg 1990; 12 (22) 1
    CrossrefPubMedGoogle Scholar