Abstract
Purpose of Review
Intracranial dermoid cysts are benign, rare mass-occupying lesions of the central nervous system arising from the neuroectodermal cell lines. While rupture of intracranial dermoid cysts is rare, it can present with a variety of clinical manifestations. To explore the headache manifestations among patients with ruptured intracranial dermoid cysts. To our knowledge, limited studies focusing on headache due to the intracranial dermoid cysts rupture have been published to date. A literature review was done through PubMed/Medline. Articles within the past 10 years were reviewed. Articles in languages other than English were excluded.
Recent Findings
Rupture of intracranial dermoid cysts could have various manifestations including headache, seizure, and meningitis.
Summary
Depending on the location of the cyst, headache secondary to the rupture of the intracranial dermoid cysts could present in different ways. A detailed systematic literature review of headache presentations due to intracranial dermoid cysts rupture is provided.
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References
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Stendel R, Pietilä TA, Lehmann K, Kurth R, Suess O, Brock M. Ruptured intracranial dermoid cysts. Surg Neurol. 2002;57:391–8.
Shashidhar A, Sadashiva N, Prabhuraj AR, Narasingha Rao K, Tiwari S, Saini J, et al. Ruptured intracranial dermoid cysts: a retrospective institutional review. J Clin Neurosci. 2019;67:172–17.
•• Heger D, Scheer F, Andresen R. Ruptured, intracranial dermoid cyst-a visual diagnosis? J Clin Diagn Res. 2016;10(4):TD08–9 Through study on IDC rupture imaging manifestations.
Anand D, Aggarwal S, Soin D, et al. Sylvian fissure dermoid cyst-a rare case. J Clin Diagn Res. 2014;8:1–2.
Liu JK, Gottfried ON, Salzman KL, Schmidt RH, Couldwell WT. Ruptured intracranial dermoid cysts: clinical, radiographic, and surgical features. Neurosurgery. 2008;62:377–84.
Lee HC, Choi I, Lim YM, Jang MU, Kim JY, Kang SY. Delayed severe headache due to ruptured spinal dermoid cyst. Headache. 2017;57(4):668–9.
Thakker C, Milinis K, Sahu A, et al. Ruptured intracranial dermoid cyst causing headache and meningism. BMJ Case Rep. 2016;2016:bcr2015213527.
Paik SC, Kim CH, Cheong JH, Kim JM. A ruptured dermoid cyst of the cavernous sinus extending into the posterior fossa. J Korean Neurosurg Soc. 2015;57(5):364–6.
Ramdasi R, Thorve S, Karnavat C. Explosion of dermoid cyst into five intracranial spaces-a rare event. Br J Neurosurg. 2019;12:1–2.
•• Wani AA, Raswan US, Malik NK, et al. Posterior fossa ruptured dermoid cyst presenting with hydrocephalus. Neurosciences (Riyadh). 2016;21(4):358–60. It is a useful article in understanding the neuroimaging findings in patients with ruptured intracranial dermoid cysts.
Walker HK, Hall WD, Hurst JW. Clinical methods: the history, physical, and laboratory examinations. 3rd edition. Boston: Butterworths; 1990.
Obermann M, Holle D, Naegel S, Diener HC. Headache attributable to nonvascular intracranial disorders. Curr Pain Headache Rep. 2011;15:314–23.
• Şalçini C, Hatıloğlu D, Evrensel A, et al. Episodic headache due to ruptured intracranial dermoid cyst. BMJ Case Rep. 2015;2015:bcr2015209691 Presents a case with the IDC rupture and migraine like attacks.
Jamesh R, Indiran V, Maduraimuthu P. Ruptured intracranial dermoid cyst in temporal fossa. Acta Neurol Taiwanica. 2016;25:70–2.
Esquenazi Y, Kerr K, Bhattacharjee MB, et al. Traumatic rupture of an intracranial dermoid cyst: case report and literature review. Surg Neurol Int. 2013;4:80.
Jacków J, Tse G, Martin A, Sąsiadek M, Romanowski C. Ruptured intracranial dermoid cysts: a pictorial review. Pol J Radiol. 2018;83:e465–70.
Barajas MA, Ramírez-Guzmán G, Rodríguez-Vázquez C, Toledo-Buenrostro V, Velásquez-Santana H, Robles RV, et al. Multimodal management of craniopharyngiomas: neuroendoscopy, microsurgery, and radiosurgery. J Neurosurg. 2002;97(5 Suppl):607–9.
Fujimoto Y, Matsushita H, Velasco O, Rosemberg S, Plese JP, Marino Jr R. Craniopharyngioma involving the infrasellar region: a case report and review of the literature. Pediatr Neurosurg. 2002;37(4):210–6.
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Amir Tolebeyan declares no conflict of interest. Deena Kuruvilla is a consultant and speaker for Lilly, Amgen/Novartis, Alder, and Allergan, and a consultant for Theranica.
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This article is part of the Topical Collection on Uncommon and/or Unusual Headaches and Syndromes
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Tolebeyan, A.S., Kuruvilla, D.E. Headache in Ruptured Intracranial Dermoid Cysts. Curr Pain Headache Rep 24, 31 (2020). https://doi.org/10.1007/s11916-020-00863-x
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DOI: https://doi.org/10.1007/s11916-020-00863-x