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Occipital dermoid cyst associated with dermal sinus complicated with meningitis: A case report.
Arch Pediatr. 2016 Feb; 23(2):197-200.AP

Abstract

BACKGROUND

Occipital dermal sinus, usually associated with dermoid cyst, is a rare entity; it results from the persistence of an abnormal embryonal communication between the skin and the intradural space. Its main complication is intracranial infection.

CASE DESCRIPTION

This 2-year-old girl was hospitalized for meningitis. Neuroradiological studies revealed a cystic mass of the posterior fossa communicating with the skin and hydrocephalus. The diagnosis of dermoid cyst associated with dermal sinus was established at surgery. The patient was treated with radical excision of both the occipital cyst and the dermal sinus associated with systemic antibiotic therapy. She had a good outcome.

CONCLUSION

Posterior fossa dermoid cyst should be considered in all children with chronic occipital skin lesion, especially a dermal sinus. We emphasize the importance of early neurosurgical treatment of dermoid cysts to prevent the development of severe complications.

Authors+Show Affiliations

Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia. Electronic address: maaloul.ines@hotmail.fr.Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia.Department of radiology, Hedi-Chaker Hospital, Sfax, Tunisia.Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia.Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia.Department of radiology, Hedi-Chaker Hospital, Sfax, Tunisia.Pediatric department, Hedi-Chaker Hospital, Sfax, Tunisia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26724977

Citation

Maaloul, I, et al. "Occipital Dermoid Cyst Associated With Dermal Sinus Complicated With Meningitis: a Case Report." Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie, vol. 23, no. 2, 2016, pp. 197-200.
Maaloul I, Hsairi M, Fourati H, et al. Occipital dermoid cyst associated with dermal sinus complicated with meningitis: A case report. Arch Pediatr. 2016;23(2):197-200.
Maaloul, I., Hsairi, M., Fourati, H., Chabchoub, I., Kamoun, T., Mnif, Z., & Hachicha, M. (2016). Occipital dermoid cyst associated with dermal sinus complicated with meningitis: A case report. Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie, 23(2), 197-200. https://doi.org/10.1016/j.arcped.2015.11.018
Maaloul I, et al. Occipital Dermoid Cyst Associated With Dermal Sinus Complicated With Meningitis: a Case Report. Arch Pediatr. 2016;23(2):197-200. PubMed PMID: 26724977.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occipital dermoid cyst associated with dermal sinus complicated with meningitis: A case report. AU - Maaloul,I, AU - Hsairi,M, AU - Fourati,H, AU - Chabchoub,I, AU - Kamoun,T, AU - Mnif,Z, AU - Hachicha,M, Y1 - 2015/12/24/ PY - 2015/07/22/received PY - 2015/09/11/revised PY - 2015/11/20/accepted PY - 2016/1/4/entrez PY - 2016/1/5/pubmed PY - 2016/11/2/medline SP - 197 EP - 200 JF - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie JO - Arch Pediatr VL - 23 IS - 2 N2 - BACKGROUND: Occipital dermal sinus, usually associated with dermoid cyst, is a rare entity; it results from the persistence of an abnormal embryonal communication between the skin and the intradural space. Its main complication is intracranial infection. CASE DESCRIPTION: This 2-year-old girl was hospitalized for meningitis. Neuroradiological studies revealed a cystic mass of the posterior fossa communicating with the skin and hydrocephalus. The diagnosis of dermoid cyst associated with dermal sinus was established at surgery. The patient was treated with radical excision of both the occipital cyst and the dermal sinus associated with systemic antibiotic therapy. She had a good outcome. CONCLUSION: Posterior fossa dermoid cyst should be considered in all children with chronic occipital skin lesion, especially a dermal sinus. We emphasize the importance of early neurosurgical treatment of dermoid cysts to prevent the development of severe complications. SN - 1769-664X UR - https://www.unboundmedicine.com/medline/citation/26724977/Occipital_dermoid_cyst_associated_with_dermal_sinus_complicated_with_meningitis:_A_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0929-693X(15)00450-9 DB - PRIME DP - Unbound Medicine ER -