• Neurosurgery · Mar 1996

    Review Case Reports

    Microsurgical excision of a pontomedullary epidermoid cyst with prepontine extension: case report.

    • G P Malcolm, R Gibson, J W Ironside, and I R Whittle.
    • Department of Clinical Neurosciences, University of Edinburgh, Scotland.
    • Neurosurgery. 1996 Mar 1; 38 (3): 579-83; discussion 582-3.

    AbstractWe report the case of a patient with a pontomedullary epidermoid cyst extending into the prepontine cistern. The patient presented with a progressive VIth nerve palsy, ataxia, and headache. Magnetic resonance imaging demonstrated a well-defined pontomedullary tumor with a high fat content. We excised the lesion using a microsurgical approach through the floor of the fourth ventricle. Postoperative magnetic resonance imaging confirmed the removal of both intra- and extra-axial components. We discuss the anatomic configuration, radiological appearances, and management of this unusual pathological finding.

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