Abstract:
BACKGROUND:Intradiploic epidermoid cyst (IEC) concurrent with chronic epidural hematoma (CEDH) has never been reported in the literature. We report a unique case of IEC concurrent with anatomically close associated CEDH. CASE DESCRIPTION:A 54-year-old man presented with a 1-week history of headache, confusion, and drowsiness. Computed tomography exposed large, extraaxial, mixed-density lesions with bone destruction and substantial mass effect in the left frontotemporal region. Magnetic resonance imaging revealed 2 adjacent extraaxial lesions. The frontal lesion was predominantly hyperintense on both T1-weighted imaging (T1WI) and T2-weighted imaging (T2WI), with an enhancement rim of the thickened dura mater. The frontotemporal lesion was mainly hyperintense on both TlWI and T2WI, with some areas of hypointensity on both T1WI and T2WI. No enhancement in the lesion was found. The patient underwent left frontotemporal craniotomy for resection of the lesion. At the time of the craniotomy, a copious amount of yellow liquid outflowed. After the bone flap was removed, an irregular tumor was found epidurally located and composed of fragile and laminated yellow materials. The tumor was totally removed. Histologic examination revealed an epidermoid cyst. Postoperative computed tomography showed mild bleeding in the operation area. His symptoms improved significantly after surgery, and he was discharged 1 week later. At 2 weeks' follow-up, the patient was well without neurologic deficits. CONCLUSIONS:Intradiploic epidermoid cyst concurrent with chronic epidural hematoma is extremely rare. We present the first case of intradiploic epidermoid cyst concurrent with anatomically close associated chronic epidural hematoma.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Zheng J,Zhang H,Wang Cdoi
10.1016/j.wneu.2018.06.030subject
Has Abstractpub_date
2018-09-01 00:00:00pages
115-119eissn
1878-8750issn
1878-8769pii
S1878-8750(18)31245-2journal_volume
117pub_type
杂志文章abstract:OBJECTIVE:To examine the influence of cerebral vasospasm on health-related quality of life after subarachnoid hemorrhage. An additional objective was to determine how the timing of nimodipine therapy can influence health-related quality of life. METHODS:Patients treated between 1998 and 2008 for nontraumatic subarachn...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2012.09.011
更新日期:2013-07-01 00:00:00
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doi:10.1016/j.wneu.2019.01.232
更新日期:2019-05-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2016.11.012
更新日期:2017-03-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.wneu.2017.03.003
更新日期:2017-06-01 00:00:00
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doi:10.1016/j.wneu.2016.06.052
更新日期:2016-08-01 00:00:00
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doi:10.1016/j.wneu.2019.05.070
更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-06-01 00:00:00
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更新日期:2017-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2020.09.128
更新日期:2021-01-01 00:00:00
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pub_type: 传,历史文章,杂志文章,评审
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.097
更新日期:2018-10-01 00:00:00
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pub_type: 历史文章,杂志文章,评审
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pub_type: 杂志文章,meta分析,评审
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更新日期:2018-12-01 00:00:00
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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更新日期:2020-04-01 00:00:00
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00