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Journal of the Korean Child Neurology Society 2010;18(2):317-321.
Published online November 30, 2010.
A Case of Intracranial Dermoid Cyst Associated with Scalp Abscess.
Sung Keun Oh, Sung Dae Cho, Young Jin Hong, Byong Kwan Son, Young Se Kwon, Eun Young Kim, Myung Kwan Lim, Seok Jin Choi
1Department of Pediatrics, School of Medicine, Inha University Hospital, Incheon, Korea. ysped@inha.ac.kr
2Department of Neurosurgury, School of Medicine, Inha University Hospital, Incheon, Korea.
3Department of Radiology, School of Medicine, Inha University Hospital, Incheon, Korea.
4Department of Pathology, School of Medicine, Inha University Hospital, Incheon, Korea.
Abstract
Intracranial dermoid cyst is a rare congenital disease originating in the embryo. Intracranial dermoid cysts are usually detected before five years of age; however, asymptomatic cysts have been discovered after the third decade of life through various complications. Sometimes, there are neurologic symptoms caused by a cystic mass effect and if there is a dermoid sinus, purulent infections can occur. Early diagnosis is important and as such, CT or MR imaging for recognition of the location, size, and characteristics of the cysts are recommended before surgical resection. Extradural dermoid cysts with an intact occipital dermoid sinus are a rare event. We report a case of intracranial dermoid cyst associated with scalp abscess. In this case, a three-year-old boy was presented with scalp abscess and we performed MR imaging, which revealed a cystic region. The prognosis after resection operation was good without any complication.
Key Words: Intracranial dermoid cyst, Dermal sinus, Scalp abscess


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