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- Title
Intrinsic epidermoid cyst of the brainstem in children—review and case report.
- Authors
Malveira, Adib Saráty; da Costa, Marcos Devanir Silva; Flores, Esdras Ismael Borrayo; Vaz, Herisson Harrider Silva; Dastoli, Patricia Alessandra; Nicácio, Jardel Mendoça; Cavalheiro, Sergio
- Abstract
Purpose: The study aimed to summarize all published cases of intrinsic brainstem epidermoid cysts in a timeline to highlight the specific characteristics and individualize the disease, in addition to discussing the best treatment used. Methods: The scientific literature on pediatric cases of intrinsic epidermoid cysts of the brainstem was analyzed. We present the case of a 1.5-year-old male with incidental presentation, who was treated with gross total resection. We summarize all previously published cases to individualize the disease. Results: We identified 21 patients, including 10 boys and 11 girls, with a mean age of 4.85 (1–15) years at the time of surgery. The most frequent symptoms were cranial nerve palsy (71.4%), pyramidal tract deficit (57.14%), and headache (52.38%). Among the affected cranial nerves, VII was the most frequently reported in 10 patients. Conclusion: Brainstem epidermoid cysts are extremely rare pathologies with relevant age involvement in young children. The treatment objective should be the maximum resection of the lesion through a careful approach and with the appropriate tools for the functional preservation of the patient.
- Subjects
EPIDERMAL cyst; BRAIN stem; SCIENTIFIC literature; PYRAMIDAL tract; CRANIAL nerves
- Publication
Child's Nervous System, 2023, Vol 39, Issue 12, p3361
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-023-06175-w