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CASE REPORT
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Giant occipital intradiploic epidermoid cyst


1 Department of Neurosurgery, Lakeshore Hospital and Research Centre, Ernakulam, Kerala, India
2 Department of Pathology, Lakeshore Hospital and Research Centre, Ernakulam, Kerala, India
3 Department of Family Medicine, Lakeshore Hospital and Research Centre, Ernakulam, Kerala, India

Correspondence Address:
Muhammed Jasim Abdul Jalal,
Department of Family Medicine, Lakeshore Hospital and Research Centre, Nettoor P. O., Maradu, NH 47, Bye Pass, Ernakulam - 682 040, Kerala
India
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Source of Support: None, Conflict of Interest: None

Intraparenchymal or intradiploic epidermoid cysts are very rare. Most of these cysts, when present, tend to involve the frontal and temporal lobes, and occasionally, the pineal gland or the brain stem. Here, we report a 45-year-old female, who presented with localized occipital headache and a tender occipital swelling, gradually increasing in size. She was hemodynamically and neurologically stable and did not have any focal neurological deficits. Whole skull and brain imaging revealed a well-demarcated expansile lytic lesion in the right occipital bone, which was hypointense on T1-weighted and hyperintense on both T2-weighted imaging and diffusion-weighted imaging without any contrast enhancement. The patient underwent a right occipital craniotomy and total excision of the intradiploic space occupying lesion. Histopathological examination confirmed the lytic bone lesion over occipital bone as intradiploic epidermoid cyst.


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    -  Oommen A
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