AI Article Synopsis

  • A 30-year-old woman experienced a sudden, severe headache, swelling in the optic disc (papilloedema), and changes in her awareness or consciousness (altered sensorium).
  • A CT scan revealed a dense mass in the back part of her brain (posterior fossa), which was later determined to be an epidermoid cyst that had spontaneously bled.
  • The case highlights the challenges in diagnosing an intracranial epidermoid cyst due to its rare presentation and the difficulties faced before surgery.

Article Abstract

A thirty year old female presented with sudden onset of severe headache, papilloedema and altered sensorium. Computerised tomography (CT) scan showed a hyperdense vermian mass in the posterior fossa. Operative findings and histological examination revealed spontaneous bleed into the epidermoid cyst. Difficulty in the preoperative diagnosis and uncommon presentation of the intracranial epidermoid cyst prompted us to report this case.

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