Mar 01
Patient ID :87013483
HX: headache & visual loss following trauma 6 months age
Findings:
Axial T1WI :A hyperintense fat containing mass at
suprasellar & right parasellar region.
Fat droplets are present in subrarachnoid space & in sylvian
fissures.
Axial FLAIR: The lesion is dark on FLAIR fat sat as
opposed to increased signal intensity on T2WI.
DX: Ruptured dermoid cyst
Discussion:
Intracranial dermoids are congenital inclusion cysts most
often in sellar/ parasellar/ frontonasal region. Rupture can
cause chemical meningitis & significant morbidity /
mortality.
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