Dermoid tumor with diastematobulbia.
BACKGROUND
Dermoid tumors are rare congenital lesions and account for 0.2% to 1.8% of all intracranial tumors. Dermoid tumor with diastematobulbia is very rare.


METHODS
We report a dermoid tumor in an adult female with an unusual location and morphology. The lesion had 2 major components with different material within the cysts. The posterior part of the dermoid had presented on the floor of the fourth ventricle and had split the pons into 2 distinct halves. The anterior part of the lesion was situated in the prepontine cistern and encircling the anterior half of the brainstem. The lesion was radically excised, and the postoperative images showed return of the 2 halves of the pons to appose each other in the midline.


CONCLUSIONS
This case report demonstrates the anatomical peculiarities of this extremely unusual presentation of a dermoid cyst with diastematobulbia. Total excision of the lesion through a dorsal approach resulted in a good outcome.
Prabhu
Krishna
K
Department of Neurosurgery, Christian Medical College, Vellore, Tamil Nadu 632004, India.
Daniel
Roy Thomas
RT
Mani
Sunithi
S
Chacko
Ari G
AG
D000328:Adult; D020295:Brain Stem Neoplasms / Q000473:pathology / Q000601:surgery*; D002551:Cerebral Ventricle Neoplasms / Q000473:pathology / Q000601:surgery*; D002946:Cisterna Magna / Q000473:pathology / Q000601:surgery*; D003884:Dermoid Cyst / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D020546:Fourth Ventricle / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D009436:Neural Tube Defects / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D009460:Neurologic Examination; D011149:Pons / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis