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Wax Droplets Lining Ventricles.
World Neurosurg. 2019 Aug; 128:206-208.WN

Abstract

Rupture of the spinal dermoid is rare. There may be intracranial deposition of fat secondary to it. We report a case of an adult male who presented with features of obstructive hydrocephalus secondary to ruptured lumbar dermoid. A 42-year-male presented with acute-onset headache and vomiting for 2 days. There was grade 3 papilledema on fundus examination. Magnetic resonance imaging showed ventriculomegaly with aqueductal obstruction. Multiple T1 and T2 hyperintense deposits were also noted along the ventricular wall. Magnetic resonance imaging of the spine showed a T1, T2 hyperintense intramedullary lesion at the lumbar region with multiple fat deposits along the spinal axis. He underwent endoscopic third ventriculostomy and is doing well at the 6-month follow-up. He is asymptomatic for the spinal lesion. Silent rupture of the spinal dermoid causing obstructive hydrocephalus is rare. These patients may remain asymptomatic for the spinal lesion and improves with cerebrospinal fluid diversion.

Authors+Show Affiliations

Department of Neurosurgery, PGIMER, Chandigarh, India. Electronic address: drsushantsahoo@gmail.com.Department of Neurosurgery, PGIMER, Chandigarh, India.Department of Neurosurgery, PGIMER, Chandigarh, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31051309

Citation

Sahoo, Sushanta K., et al. "Wax Droplets Lining Ventricles." World Neurosurgery, vol. 128, 2019, pp. 206-208.
Sahoo SK, Dhandapani S, Wankhede L. Wax Droplets Lining Ventricles. World Neurosurg. 2019;128:206-208.
Sahoo, S. K., Dhandapani, S., & Wankhede, L. (2019). Wax Droplets Lining Ventricles. World Neurosurgery, 128, 206-208. https://doi.org/10.1016/j.wneu.2019.04.209
Sahoo SK, Dhandapani S, Wankhede L. Wax Droplets Lining Ventricles. World Neurosurg. 2019;128:206-208. PubMed PMID: 31051309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wax Droplets Lining Ventricles. AU - Sahoo,Sushanta K, AU - Dhandapani,Sivashanmugam, AU - Wankhede,Lomesh, Y1 - 2019/04/30/ PY - 2019/03/21/received PY - 2019/04/22/revised PY - 2019/04/23/accepted PY - 2019/5/6/pubmed PY - 2020/1/22/medline PY - 2019/5/4/entrez KW - Dermoid KW - Endoscopic third ventriculostomy KW - Hydrocephalus SP - 206 EP - 208 JF - World neurosurgery JO - World Neurosurg VL - 128 N2 - Rupture of the spinal dermoid is rare. There may be intracranial deposition of fat secondary to it. We report a case of an adult male who presented with features of obstructive hydrocephalus secondary to ruptured lumbar dermoid. A 42-year-male presented with acute-onset headache and vomiting for 2 days. There was grade 3 papilledema on fundus examination. Magnetic resonance imaging showed ventriculomegaly with aqueductal obstruction. Multiple T1 and T2 hyperintense deposits were also noted along the ventricular wall. Magnetic resonance imaging of the spine showed a T1, T2 hyperintense intramedullary lesion at the lumbar region with multiple fat deposits along the spinal axis. He underwent endoscopic third ventriculostomy and is doing well at the 6-month follow-up. He is asymptomatic for the spinal lesion. Silent rupture of the spinal dermoid causing obstructive hydrocephalus is rare. These patients may remain asymptomatic for the spinal lesion and improves with cerebrospinal fluid diversion. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/31051309/Wax_Droplets_Lining_Ventricles_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(19)31205-7 DB - PRIME DP - Unbound Medicine ER -