is pre-surgical imaging required for an asymptomatic posterior vertex subcutaneous dermoid? a case report

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2016
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Abstract
Scalp dermoid cysts are common etiologies of subcutaneous lump and bump lesions in the pediatric population, with incidence ranging from 15 to 22% (Crawford, 1990; McAvoy & Zuckerbraun, 1976). Midline scalp dermoid cysts have high risk for intracranial extension, with incidence reported to be 39–57% of cases (Wood, Couture, & David, 2012; Posnick, Bortoluzzi, Armstrong, & Drake, 1994). The following case illustrates a healthy thirteen-year-old boy who presented with asymptomatic enlarging subcutaneous posterior scalp mass who was consented for excision of the mass without pre-operative imaging, and was found to have an intracranial dermoid sinus tract intra-operatively. Post-operative imaging found an intracranial dermoid nodule which entailed an otherwise avoidable second-stage surgery to achieve complete resection.
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Authors ;Simon Ho;Thang Ngo
Journal clinical medicine (london, england)
Year 2016
DOI
10.1016/j.epsc.2016.06.004
URL
http://www.sciencedirect.com/science/article/pii/S2213576616300963
Keywords
dermoid cyst pediatric neurosurgery

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