HOME CONTACT US
Fackbook Twitter Korean
HOME > Weekly Case > Weekly Case

Weekly Case

종결 Case No. 500 2018-12-01~2018-12-31
출제자 : 유인선 Hit : 330
1 / 7
2 / 7
3 / 7
4 / 7
5 / 7
6 / 7
7 / 7
❮ ❯
Img
Img
Img
Img
Img
Img
Img
Period 2018-12-01~2018-12-31
Diagnosis Intracranial Epidermoid cyst
Gender
  • M
    •  
  • F
Age 51
Clinical information M/51
30년전부터 시작된 좌측 청력저하, 얼굴감각 저하
Discussion Intracranial Epidermoid cyst
 Primary intracranial cystic lesion, 1% of all cranial tumors
 Congenital: Inclusion of ectodermal elements during neural tube closure
 Acquired: Postsurgical, post-traumatic
 Epidemiology: 20-40 years of age, M=F
 Symptoms: headache, CN deficits, cerebellar sx, seizures
 Location : Cerebellopontine angle (~50%), 4th ventricle, sellar/parasellar
 Imaging findings
 CT
 Low density due to cellular debris, high cholesterol, resemble CSF
 Calcification (10-25%)
 Enhancement (-), Peripheral enhance (25%)
 MR
 Isointense to CSF (T1 hypo, T2 hyper SI)
 FLAIR usually doesn’t completely null
 DWI : Diffusion restriction
 Water molecules linked to cholesterol molecules in the cyst
 keratinaceous debris within the lesion
 Treatment
 Surgical excision if symptomatic
 Recurrence common
Correct answer

Correct Answer

  • 최규성 서울대학교병원

Semi-Correct Answer

  • 강연아 분당서울대학교병원
    		•

    Submit answer

    Name

    Affiliated Hospital

    Password

    Please write the password to be used when checking the answer

    Answer

    Answer submission list