Epidermoid cyst of the cavernous sinus: clinical features, pathogenesis and treatment.

Abstract:

:Epidermoid cyst may rarely arise within the lateral wall of the cavernous sinus (CS) and produce clinical symptoms mimicking the Tolosa-Hunt syndrome. Pathogenically, it is suggested that some of the subpopulation of cells arising from the neural crest which give rise to skin, may remain entrapped in the meninges around the nerves in the lateral wall in an uncompleted stage of maturation and may develop epidermoid cysts. A case is presented of a 68-year-old man with a 4-week history previously diagnosed as Tolosa-Hunt syndrome. MRI is the investigation of choice. Surgical resection can result in excellent recovery of preoperative deficits of cranial nerves (CN) III through VI.

journal_name

Br J Neurosurg

authors

Tatagiba M,Iaconetta G,Samii M

doi

10.1080/02688690050206747

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

571-5

issue

6

eissn

0268-8697

issn

1360-046X

journal_volume

14

pub_type

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