| Epidermoid cysts of the fourth ventricle: very long follow up in 9 cases and review of the literature. | |
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MedLine Citation:
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PMID: 14577013 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study reports late surgical results obtained in 9 patients operated on for an epidermoid cyst of the fourth ventricle. They represent 19/9% of all cases of epidermoids treated at our Department over a period of 25 years (1975-2000). 7 cases were diagnosed with CT and 2 cases with MR. Duration of clinical history ranged from 2 months to 6 years (mean: 2,2 years). Preoperatively, 2 cases presented spontaneous remission of neurological symptoms and signs lasting about 1 year. 7 (77,8%) patients underwent subtotal removal of the cyst whereas in 2 patients the lesion was totally excised. 3 patients (33,3%) underwent a second operation for symptomatic recurrence diagnosed between 10 and 17 years from the first operation. At present, 7 (77,8%) patients are alive (mean follow up of 14,5 years, ranging from 5 to 23 years) without neuroradiological and clinical evidence of tumour recurrence. In this group, 6 have no neurological problems and 1 suffers from a light vestibulo-cerebellar syndrome. Fourth ventricle epidermoids have a good long-term prognosis even in the case of only subtotal removal. Follow-up clinical and MR controls allow an earlier diagnosis of recurrence. Surgery of recurrent cysts can be more demanding; nonetheless, long term prognosis can be quite good for patients in well preserved neurological condition. |
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Authors:
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A Tancredi; D Fiume; G Gazzeri |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Acta neurochirurgica Volume: 145 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-24 Completed Date: 2004-03-30 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 905-10; discussion 910-1 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, S. Filippo Neri Hospital, Rome, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain Diseases / pathology, surgery* Epidermal Cyst / pathology, surgery* Female Follow-Up Studies Fourth Ventricle / pathology, surgery* Humans Magnetic Resonance Imaging Male Middle Aged Remission, Spontaneous Reoperation Survival Analysis Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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