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Journal of Neurology and Neurorehabilitation Research | Volume 3

August 23-24, 2018 | Paris, France

Neurology and Neurological Disorders

International Conference on

Epidermoid cyst located in the fourth ventricle: Case report

Wei-Yang Chen

Buddhist Tzu Chi General Hospital, Taiwan

64-year-old woman with no significant past medical history

was evaluated for dizziness and unsteady gait for two

months. There was no history of headache, vomiting, tinnitus,

difficulty in hearing and limb weakness. Examinations revealed

no neurological deficit. Cerebellar signs were absent. Plain

and CEMRI brain revealed an epidermoid cyst in the fourth

ventricle and anteriorly compressing the pons andmedulla. The

lesion also extends to bilateral foramens of Luschka. Through

a suboccipital craniectomy, the encapsulated epidermal cyst,

developed from the fourth ventricle, could be totally removed

without any attachment to the floor of the fourth ventricle. The

histopathological study showed capsular tissue rich in keratin

and protein, findings consistent with epidermoid cyst. There

were no complications in the postoperative period and the

patient developed clinically well during follow-up of six months.