Neurosurgical management of intracranial epidermoid tumors in children. Clinical article.

作者: Ibrahim Ahmed , Kurtis I. Auguste , Shobhan Vachhrajani , Peter B. Dirks , James M. Drake

DOI: 10.3171/2009.4.PEDS08489

关键词: SurgeryMeningitisNeuronavigationRetrospective cohort studyMeningismHydrocephalusEl NiñoCraniotomyMedicineCerebellopontine angle

摘要: Object Epidermoid tumors are benign lesions representing 1% of all intracranial tumors. There have been few pediatric series epidermoid reported previously. The authors present their experience in the management these lesions. Methods neurosurgical database at Hospital for Sick Children was searched children with surgically managed patients' charts were reviewed demographic data, details clinical presentation, surgical therapy, and follow-up. Ethics board approval obtained this study. Results Seven children, girls, identified who met inclusion criteria between 1980 2007. average age surgery 11.2 years (range 8–15 years), mean maximal tumor diameter 2.1 cm. Headache most common presenting symptom, 1 found incidentally. Most patients had normal neurological examinations, but meningism 2 cases. 3 cerebellopontine angle lesions, pontom...

参考文章(18)
M. Kujas, L. Capelle, R. Van Effenterre, M. Lopes, T. Faillot, D. Fohanno, A. Bitar, H. Duffau, J.-P. Sichez, Surgery of intracranial epidermoid cysts. Report of 44 patients and review of the literature Neurochirurgie. ,vol. 48, pp. 5- 13 ,(2002)
Paul R. Rosenbluth, Ben W. Lichtenstein, Pearly tumor (epidermoid cholesteatoma) of the brain. Clinicopathologic study of two cases. Journal of Neurosurgery. ,vol. 17, pp. 35- 42 ,(1960) , 10.3171/JNS.1960.17.1.0035
David M. Kaylie, Frank M. Warren, David S. Haynes, C Gary Jackson, Neurotologic management of intracranial epidermoid tumors Laryngoscope. ,vol. 115, pp. 1082- 1086 ,(2005) , 10.1097/01.MLG.0000163103.36739.AC
Mitchel S. Berger, Charles B. Wilson, Epidermoid cysts of the posterior fossa Journal of Neurosurgery. ,vol. 62, pp. 214- 219 ,(1985) , 10.3171/JNS.1985.62.2.0214
Sunil N. Dutt, Showkat Mirza, Swarupsinh V. Chavda, Richard M. Irving, Radiologic differentiation of intracranial epidermoids from arachnoid cysts. Otology & Neurotology. ,vol. 23, pp. 84- 92 ,(2002) , 10.1097/00129492-200201000-00019
Madjid Samii, Marcos Tatagiba, Jose Piquer, Gustavo A. Carvalho, Surgical treatment of epidermoid cysts of the cerebellopontine angle Journal of Neurosurgery. ,vol. 84, pp. 14- 19 ,(1996) , 10.3171/JNS.1996.84.1.0014
W. B. Gormley, F. J. Tomecek, N. Qureshi, G. M. Malik, Craniocerebral epidermoid and dermoid tumours: a review of 32 cases. Acta Neurochirurgica. ,vol. 128, pp. 115- 121 ,(1994) , 10.1007/BF01400660
J. GRAFTON LOVE, DERMOID AND EPIDERMOID TUMORS (CHOLESTEATOMAS) OF CENTRAL NERVOUS SYSTEM Journal of the American Medical Association. ,vol. 107, pp. 1876- 1883 ,(1936) , 10.1001/JAMA.1936.02770490030009
P. Lunardi, P. Missori, Transtentorial epidermoid cysts Acta Neurochirurgica. ,vol. 113, pp. 125- 130 ,(1991) , 10.1007/BF01403197
Kenta Yamakawa, Nobuyuki Shitara, Shigeru Genka, Shinya Manaka, Kintomo Takakura, Clinical course and surgical prognosis of 33 cases of intracranial epidermoid tumors. Neurosurgery. ,vol. 24, pp. 568- 573 ,(1989) , 10.1227/00006123-198904000-00013