Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report

Intracranial epidermoid cysts are uncommon benign tumors of developmental origin; malignant transformation of benign epidermoid cysts is rare, and their prognosis remains poor. We report a case of squamous cell carcinoma arising in the cerebellopontine angle. A 52-year-old man presented with left f...

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Main Authors: Fayçal Lakhdar, El Mehdi Hakkou, Rachid Gana, Rachid My Maaqili, Fouad Bellakhdar
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2011/525289
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author Fayçal Lakhdar
El Mehdi Hakkou
Rachid Gana
Rachid My Maaqili
Fouad Bellakhdar
author_facet Fayçal Lakhdar
El Mehdi Hakkou
Rachid Gana
Rachid My Maaqili
Fouad Bellakhdar
author_sort Fayçal Lakhdar
collection DOAJ
description Intracranial epidermoid cysts are uncommon benign tumors of developmental origin; malignant transformation of benign epidermoid cysts is rare, and their prognosis remains poor. We report a case of squamous cell carcinoma arising in the cerebellopontine angle. A 52-year-old man presented with left facial paralysis and cerebellar ataxia. He had undergone total removal of a benign epidermoid cyst six months previously. Postoperative magnetic resonance imaging of the brain revealed a heterogeneous and cystic lesion in the left cerebellopontine angle with hydrocephalus. The cyst wall was enhanced by gadolinium. He underwent ventricle-peritoneal shunt and removal again; the histopathological examination revealed a squamous cell carcinoma possibly arising from an underlying epidermoid cyst. This entity is being reported for its rarity. The presence of contrast enhancement at the site of an epidermoid cyst combined with an acute, progressive neurological deficit should alert the neurosurgeon to the possibility of a malignant transformation.
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institution Kabale University
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publishDate 2011-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-53368f6fbd8144fbb2ce2c622ce291032025-02-03T05:50:34ZengWileyCase Reports in Neurological Medicine2090-66682090-66762011-01-01201110.1155/2011/525289525289Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case ReportFayçal Lakhdar0El Mehdi Hakkou1Rachid Gana2Rachid My Maaqili3Fouad Bellakhdar4Department of Neurosurgery, Ibn Sina Hospital, Rabat, MoroccoDepartment of Neurosurgery, Ibn Sina Hospital, Rabat, MoroccoDepartment of Neurosurgery, Ibn Sina Hospital, Rabat, MoroccoDepartment of Neurosurgery, Ibn Sina Hospital, Rabat, MoroccoDepartment of Neurosurgery, Ibn Sina Hospital, Rabat, MoroccoIntracranial epidermoid cysts are uncommon benign tumors of developmental origin; malignant transformation of benign epidermoid cysts is rare, and their prognosis remains poor. We report a case of squamous cell carcinoma arising in the cerebellopontine angle. A 52-year-old man presented with left facial paralysis and cerebellar ataxia. He had undergone total removal of a benign epidermoid cyst six months previously. Postoperative magnetic resonance imaging of the brain revealed a heterogeneous and cystic lesion in the left cerebellopontine angle with hydrocephalus. The cyst wall was enhanced by gadolinium. He underwent ventricle-peritoneal shunt and removal again; the histopathological examination revealed a squamous cell carcinoma possibly arising from an underlying epidermoid cyst. This entity is being reported for its rarity. The presence of contrast enhancement at the site of an epidermoid cyst combined with an acute, progressive neurological deficit should alert the neurosurgeon to the possibility of a malignant transformation.http://dx.doi.org/10.1155/2011/525289
spellingShingle Fayçal Lakhdar
El Mehdi Hakkou
Rachid Gana
Rachid My Maaqili
Fouad Bellakhdar
Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
Case Reports in Neurological Medicine
title Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
title_full Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
title_fullStr Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
title_full_unstemmed Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
title_short Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report
title_sort malignant transformation six months after removal of intracranial epidermoid cyst a case report
url http://dx.doi.org/10.1155/2011/525289
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AT rachidmymaaqili malignanttransformationsixmonthsafterremovalofintracranialepidermoidcystacasereport
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