[Dermoid cysts of the posterior cerebral fossa in children revealed by recurrent aseptic meningitis: Report of two cases and a review of the literature]

Neurochirurgie. 2018 Mar;64(1):68-72. doi: 10.1016/j.neuchi.2017.08.004. Epub 2018 Feb 15.
[Article in French]

Abstract

Introduction: Dermoid cysts of central nervous system are very rare. The usual clinical presentation is dominated by intracranial hypertension, epilepsy and cranial palsy. The revelation mode could be recurrent aseptic meningitis.

Aim: The aim of this case report is to consider the dermoid cyst as regards the differential diagnosis in children treated for recurrent aseptic meningitis to avoid misdiagnosis and ice qui a orienté le diagnostic à une méningitnadequate treatment.

Methods: Two children were admitted in the pediatric department for recurrent aseptic meningitis. The MRI confirmed the presence of a posterior fossa dermoid cyst.

Results: Loss of meningitis after microsurgical resection.

Conclusion: The diagnosis of dermoid cyst is performed and reconsidered at an early stage in aseptic meningitis in order to establish an adequate therapy, which is surgery.

Keywords: Aseptic meningitis; Dermal sinus; Dermoid cysts; Fosse cérébrale postérieure; Kystes dermoïdes; Méningites aseptiques; Posterior cerebral fossa; Sinus dermique.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child, Preschool
  • Dermoid Cyst / complications
  • Dermoid Cyst / diagnostic imaging*
  • Humans
  • Meningitis, Aseptic / diagnostic imaging*
  • Meningitis, Aseptic / etiology
  • Recurrence