Intradiploic epidermoid cyst

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis possible

Presentation

Sudden onset left mild sensorineural hearing loss. ENT check normal. History of well-controlled blood pressure. To exclude left retro cochlear lesion.

Patient Data

Age: 70 years
Gender: Male

A well-defined osteolytic lesion was noted involving the inner and outer tables of occipital bone on the left side. No aggressive features.

Case Discussion

Intradiploic epidermoid cysts appear as hypodense lesion with sharply demarcated bony defects involving the tables of skull and zones of calcifications.

Differential diagnosis include eosinophilic granuloma, calvarial hemangioma, dermoid cyst and fibrous dysplasia.

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