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Epidermoid cysts of cerebellopontine angle with extensions into the middle and anterior cranial fossae : surgical strategy anf review of the literature
Akhavan-Sigari, R.
Epidermoid cysts are tumours, which contain keratin, cellular debris and cholesterol, and lined with stratified squamous epithelium. Clinically, epidermoid cysts behave like benign, slow-growing ...lesions. We present a 63 year-old man with a 6-month history of right periorbital pain and hypaesthesiain the area of the first and second branch of the trigeminal nerve. MRI revealed an epidermoid cyst of the cerebellopontine angle extendinginto the middle and anterior cranial fossae. Radical surgical removalof epidermoid cysts should be attempted, but a less aggressive surgicalstrategy should be considered if there is strong adherence to the surrounding brain tissue, particularly in eloquent areas. In this case, complete tumour removal was achieved via a suboccipital retrosigmoid approach.
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