| Posterior fossa dermoid cyst with sinus tract and meningitis in a toddler. | |
| | |
MedLine Citation:
|
PMID: 18555177 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Miltiadis Douvoyiannis; David L Goldman; Ira R Abbott; Nathan Litman |
Related Documents
:
|
22301047 - Multiple keratotic papules on palm. 10721807 - Squamous-lined cysts of the pancreas: lymphoepithelial cysts, dermoid cysts (teratomas)... 15769277 - Clinicopathologic features of epidermal cysts of the sole: comparison with traditional ... 6503577 - Congenital laryngeal saccular cyst of the newborn. 12534737 - Palpable parathyroid adenomas presenting as clinical solitary thyroid nodules and cytol... 22090687 - Intraoperative neurocytology of primary central nervous system neoplasia: a simplified ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Pediatric neurology Volume: 39 ISSN: 0887-8994 ISO Abbreviation: Pediatr. Neurol. Publication Date: 2008 Jul |
Date Detail:
|
Created Date: 2008-06-16 Completed Date: 2008-08-25 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8508183 Medline TA: Pediatr Neurol Country: United States |
Other Details:
|
Languages: eng Pagination: 63-6 Citation Subset: IM |
Affiliation:
|
Division of Infectious Diseases, Department of Pediatrics, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York 10467, USA. mdouvoyi@montefiore.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anti-Bacterial Agents
/
therapeutic use Bacteria, Anaerobic Cranial Sinuses / pathology* Dermoid Cyst / complications*, pathology*, surgery Humans Infant Infratentorial Neoplasms / complications*, pathology*, surgery Magnetic Resonance Imaging Male Meningitis / complications*, microbiology Metronidazole / therapeutic use Neurosurgical Procedures Vancomycin / therapeutic use |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents; 1404-90-6/Vancomycin; 443-48-1/Metronidazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Central hypothyroidism and Sturge-Weber syndrome.
Next Document: Serologic marker of acute motor axonal neuropathy in childhood.