Posterior fossa dermoid cyst with sinus tract and meningitis in a toddler

被引：19

作者：

Douvoyiannis, Miltiadis ^{[1
]}

Goldman, David L. ^{[1
]}

Abbott, Ira R., III ^{[2
]}

Litman, Nathan ^{[1
]}

机构：

[1] Albert Einstein Coll Med, Childrens Hosp Montefiore, Dept Pediat, Div Infect Dis, Bronx, NY 10467 USA

[2] Albert Einstein Coll Med, Montefiore Med Ctr, Dept Neurol Surg, Bronx, NY 10467 USA

来源：

PEDIATRIC NEUROLOGY | 2008年 / 39卷 / 01期

关键词：

D O I：

10.1016/j.pediatrneurol.2008.03.019

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Intracranial dermoid cysts are rare, but can cause recurrent bacterial or aseptic meningitis, abscesses or mass effect. We describe a toddler who manifested an occipital "lump" for 6 months without further evaluation. He presented with lethargy and meningitis. A posterior fossa dermoid cyst with a sinus tract was detected by imaging studies. He underwent prompt surgical excision of the cyst and the sinus, and received a prolonged course of antibiotics, because anaerobes were isolated from the contents of the cyst and blood. His postoperative course was complicated, and required the placement of a lumboperitoneal shunt. A high index of suspicion for the detection of dermoid cysts is required when a congenital midline skin lesion such as a dimple or a scalp swelling is reported. Prophylactic excision is indicated to prevent serious sequelae. (C) 2008 by Elsevier Inc. All rights reserved.

引用

页码：63 / 66

页数：4

共 18 条

[1] Cerebellar abscesses secondary to occipital dermoid cyst with dermal sinus - Case report [J].