Congenital epidermoid cysts of the anterior fontanel

Two cases of a congenital epidermoid cyst located over the anterior fontanel are reported in Tunisian white boys, aged 10 and 12 months. In both cases, cyst had manifested at birth as a small soft mass over the head which gradually enlarged. Radiological examinations revealed no intracranial extension. The cysts were completely excised without complications with good outcome. Review of the literature demonstrates that epidermoid cysts at this location have many common features and would appear to form a district entity