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Case Reports
. 2016 Apr-Jun;11(2):174-5.
doi: 10.4103/1793-5482.175620.

Sylvian fissure epidermoid cyst presenting with intention tremor

Abhidha Shah  1 , Feda Makkiyah  1 , Atul Goel  1
Affiliations
Case Reports

Sylvian fissure epidermoid cyst presenting with intention tremor

Abhidha Shah et al. Asian J Neurosurg. 2016 Apr-Jun.

Abstract

Epidermoid tumors are benign tumors which contain keratin, cellular debris, and cholesterol, and are lined with stratified squamous epithelium. They grow in discreet silence sustained over a multitude of years. The tumors most commonly present with headache and seizures. We report the case of a 24-year-old male with a large sylvian fissure epidermoid tumor who presented with intention tremor. The patient was operated, and a near-total excision of the tumor was performed with a resolution of the tremor.

Keywords: Epidermoid; intention tremor; middle fossa.

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Figures

Figure 1
Figure 1
Preoperative images of a 24-year-old male with right sylvian fissure epidermoid cyst. (a) Sagittal T1-weighted image showing the hypointense lesion in the sylvian fissure. (b) Axial T2-weighted image showing the hyperintense epidermoid with compression of the midbrain. (c) Diffusion-weighted image showing the restriction
Figure 2
Figure 2
Postoperative images. (a) Axial T1-weighted image showing excision of the epidermoid with no compression on the midbrain. (b) Diffusion-weighted image showing excision of the epidermoid
See this image and copyright information in PMC

References

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