Posterior fossa dermoid cyst associated with dermal fistula: report of 2 cases and review of the literature.
Two cases of dermoid cysts of the posterior fossa in association with a dermal fistula and with different clinical presentations are reported. The patient in case 1 is a 14-month-old girl with a history of recurrent bacterial meningitis. Case 2, a 7-year-old girl, presented with a skin "granuloma" at the inion. Both cases, and a review of the literature, demonstrate the need for a thorough exploration of the cranial and spinal midline skin areas in every newborn and argue for widespread use of nuclear magnetic resonance imaging whenever a suspected midline lesion is found.
Goffin
J
J
Department of Neurology and Neurosurgery, University Hospital Gasthuisberg, Catholic University of Leuven, Belgium.
Plets
C
C
Van Calenbergh
F
F
Weyns
F
F
Van Havenbergh
T
T
Eeckels
R
R
Casaer
P
P
Hunnick
K
K
Wilms
G
G
Marchal
G
G
D001932:Brain Neoplasms / Q000175:diagnosis* / Q000601:surgery; D002648:Child; D003388:Cranial Fossa, Posterior; D003399:Craniotomy; D003884:Dermoid Cyst / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000601:surgery; D012871:Skin Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed