RESUMO
A thirty year old female presented with sudden onset of severe headache, papilloedema and altered sensorium. Computerised tomography (CT) scan showed a hyperdense vermian mass in the posterior fossa. Operative findings and histological examination revealed spontaneous bleed into the epidermoid cyst. Difficulty in the preoperative diagnosis and uncommon presentation of the intracranial epidermoid cyst prompted us to report this case.
Assuntos
Cisto Epidérmico/diagnóstico por imagem , Adulto , Fossa Craniana Posterior/diagnóstico por imagem , Fossa Craniana Posterior/cirurgia , Cisto Epidérmico/cirurgia , Feminino , Humanos , Tomografia Computadorizada por Raios XRESUMO
A case of gun shot injury to the spine, with the bullet entering the thecal sac via the right side of the lower chest and wandering freely in the subarachnoid space, is reported. The patient was neurologically intact initially and developed radicular symptoms with foot drop and urinary retention on the third day after injury. The radiological findings and the problems faced at surgery are discussed, and the relevant literature of this uncommon condition is reviewed.
