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Epidermoid cyst - cerebellopontine angle

Case contributed by Frank Gaillard
Diagnosis almost certain

This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

MR Brain

mri

Characteristic appearance of an epidermoid cyst in the cerebellopontine angle. The lesion has a similar signal intensity to CSF on both T1 and T2 weighted sequences but is 'dirty' on FLAIR. The diagnosis is confirmed on DWI which demonstrates very bright signal with intermediate ADC values similar to brain parenchyma.

Case Discussion

This is the most common appearance of intracranial epidermoid cysts

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