Surgical treatment of intradiploic epidermoid cyst treated as depression

Nenad Zivkovic, Marko Markovic, Goran Mihajlovic, Milan Jovanovic
2014 Srpski Arhiv za Celokupno Lekarstvo  
Introduction Extradural intradiploic epidermoid cysts are rare, representing less than 0.25% of all primary intracranial tumors. They can be neurologically silent and can only present psychiatric symptoms like depression, cognitive or personality changes. Case Outline A 68-year-old male with two year long history of depressive mood, lack of motivation, helplessness, hopelessness and poor response to antidepressive drug therapy was described. CT scan showed a well-defined mass in the parietal
more » ... in the parietal scalp with destruction of the scull. He underwent intracranial tumor resection. Surgical resection and cranioplasty were performed. Pathology confirmed intradiploic epidermoid cyst. Conclusion Total removal of these cysts and repeated washing of the cavity with 0.9 % saline may prevent recurrence and aseptic meningitis and may improve mental state of the patient. We also emphasize the need for neuroimaging studies in a patient with atypical changes in mental status, even without neurological signs or symptoms.
doi:10.2298/sarh1402067z pmid:24684034 fatcat:2xg4l4z6ofbmphltq6zi2zys3e