Ruptured intracranial dermoid cyst

Case contributed by Ahmed Abdrabou , 18 Apr 2013
Diagnosis certain
Changed by Henry Knipe, 7 Jun 2018

Updates to Study Attributes

Findings was changed:

The patient had a history of hydrocephalus and unerwentunderwent VP shunt

Complex right temporal intra axial-axial lesion. In T1 it displays heterogenous intensity predominantly low signal in the center of the lesion with peripheral hyperintensity. In T2 the lesion is predominantly predominantly hyperintense in the center and periphery. The peripheral component becomes low signal in Fatfat suppressed T2. Scattered foci of hyperintense signal in T1 and FLAIR are seen dessiminateddisseminated within the subarachnoid space.

Images Changes:

Image MRI (T1) ( update )

Description was removed:
Ruptured dermoid cyst

Updates to Quizquestion Attributes

Question was changed:
DDWhat is the differential diagnosis of T1 hyperintense foci in the subarachnoid space?

Updates to Case Attributes

Body was changed:

Diagnosis: Dermoid dermoid cyst after rupture.

The dermoid cyst has ruptured and its fatty content becomebecomes disseminated within the subarachnoid space resulting in T1/FLAIR hyperintense droplets. After evacuating its content, its center became hypointense on T1, and may resemble any other cystic lesions.

Related article

  • -<p>Diagnosis:<strong> Dermoid cyst after rupture</strong></p><p>The dermoid cyst has ruptured and its fatty content become disseminated within the subarachnoid space resulting in T1/FLAIR hyperintense droplets. After evacuating its content, its center became hypointense on T1, and may resemble any other cystic lesions.</p><p><strong>Related article</strong></p><ul><li><a href="/articles/intracranial-dermoid-cyst-1">Intracranial dermoid cyst</a></li></ul>
  • +<p>Diagnosis: dermoid cyst after rupture.</p><p>The dermoid cyst has ruptured and its fatty content becomes disseminated within the subarachnoid space resulting in T1/FLAIR hyperintense droplets. After evacuating its content, its center became hypointense on T1 and may resemble any other cystic lesions.</p>

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