Supra and infra tentorial epidermoid cyst.

Abstract

The objective of the present work is to describe the clinical manifestations, diagnostic methods, therapeutic management as well as the intraoperative characteristics of the epidermoid cyst. The case of a 37-year-old male patient is reported, who presented with absence crisis, headache, diplopia, left hearing loss and limitation of ambulation of 6 months of evolution. A brain magnetic resonance imaging (MRI) study is performed in which a hypointense supra and infratentorial lesion is observed with a signal similar to that of cerebrospinal fluid (CSF), with little contrast uptake and hyperintense in T2 sequence. Surgical treatment with total resection was performed with a favorable postoperative evolution and no evidence of recurrence at 2 years.