Pediatr. praxi 2017; 18(5): 314-316 | DOI: 10.36290/ped.2017.061

Occipital dermoid cyst associated with dermal sinus as a cause of neuroinfection

prof. MUDr. Vladimír Mihál, CSc.^{1, 2}, MUDr. Mariana Balíková², doc. MUDr. David Krahulík, Ph.D.³, MUDr. Kamila Michálková⁴

¹ Ústav molekulární a translační medicíny LF UP Olomouc

² Dětská klinika LF UP a FN v Olomouci

³ Neurochirugická klinika LF UP a FN v Olomouci

⁴ Radiologická klinika FN Olomouc

Occipital dermal sinuses (ODS) are rare dysraphic lesions resulting from defective separation of the ectoderm and neurodermpresenting with diverse clinical features from asymptomatic dermal sinus to symptomatic situations including hydrocephalus,meningitis or abscess. We present a 4-year-old girl presented with raised intracranially pressure and meningitis. Neuroradiologicalstudies evaluated finding as a cerebellar abscess communicating with congenital skin defect. The cerebellar abscess was treatedby radical excision through a suboccipital approach. Histological and peroperative finding confirmed dermoid cyst.

Keywords: dermoid cyst, occipital dermal sinus, cerebellar abscess, meningitis, child

Published: November 1, 2017  Show citation