Epidermoid cyst of the fourth ventricle: diffusion-weighted and flair MR imaging findings.

JBR-BTR

Department of Radiology, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.

Published: September 2008

Fourth ventricle epidermoid cysts are rare lesions, arising from epithelial remnants at the time of neural tube closure. They are well-defined CT hypoattenuated masses that resemble CSF on all conventional MR imaging sequences. We present a case of a pathological proven less common fourth ventricle epidermoid cyst with special emphasis on the use of FLAIR and EPI-DW imaging sequences in the diagnosis.

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