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Ruptured dermoid cyst Print E-mail
Saturday, 29 May 2010 15:20

History (HX): headache & visual loss following trauma 6 months age



Findings: Axial T1WI :A hyperintense fat containing mass at suprasellar & right parasellar region.

Fat droplets are present in subrarachnoid space & in sylvian fissures.

Axial FLAIR: The lesion is dark on FLAIR fat sat as opposed to increased signal intensity on T2WI.

Diagnostic (DX) Ruptured dermoid cyst

Discussion: Intracranial dermoids are congenital inclusion cysts most often in sellar/ parasellar/ frontonasal region. Rupture can cause chemical meningitis & significant morbidity / mortality.

 

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