International Journal of Neurosurgery

Case Report | | Peer-Reviewed |

Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases

Received: 26 November 2023    Accepted: 12 December 2023    Published: 22 December 2023
Views:       Downloads:

Share This Article

Abstract

Introduction: Epidermoid cysts and dermoid cysts are uncommon benign tumors of congenital origin who result from the aberrant inclusion of ectodermal elements during closure of the neural tube between the 3rd and 5th week of embryonic development. The location of these cysts at the anterior fontanelle level is very rarely reported. These cysts evolve by gradually increasing in volume, causing aesthetic problems. Our aim is to report a case of epidermoid cyst (EC) and a case of dermoid cyst (DC) diagnosed and operated in our department. Observations: We report one case of epidermoid cyst and one case of dermoid cyst in female infants aged 10 and 4 months who presented with a subcutaneous medial fronto-parietal mass of the anterior fontanelle. These mobile, painless masses with a wide base of implantation measured 6 x 5.5 cm and 5 x 3.5 cm. After brain scan exploration, the total excision of the cysts was carried out. The postoperative progress was good without recurrence. The diagnoses of epidermoid and dermoid cysts were confirmed by histology. Conclusion: Anterior fontanelle epidermoid and dermoid cysts are congenital benign tumors who is rarely reported. They are often diagnosed in the first months of life. One piece excision gives excellent results without recurrence.

DOI 10.11648/j.ijn.20230702.17
Published in International Journal of Neurosurgery (Volume 7, Issue 2, December 2023)
Page(s) 52-55
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Epidermoid Cyst, Dermoid Cyst, Anterior Fontanelle, Excision

References
[1] Yahiaoui AM, Abzouzi B, Bekkouche M, Ioualalen N, Baba Ahmed R. Le kyste épidermoïde de la fontanelle antérieure à propos d’un cas et revue de la littérature. Journal de Neurochirurgie. 2006, N°04: 27–30.
[2] Ndoye N, Badiane SB, Ba MC, Sakho Y, Diene MS, Errami A, Gueye M. Kyste dermoïde extracrânien congénital de l’enfant – à propos de 5 cas. AJNS. 2002, 21, 1: 42-44.
[3] Adeloye A, Odeku EL. Congenital subgaleal cysts over the anterior fontanel in Nigerians. Arch Dis child. 1971; 46: 95-98.
[4] Agrawal A, Santhi V, Umamaheswara Reddy V. Subgaleal dermoid cyst of the anterior fontanelle in a child. The Egyptian Journal of Radiology and Nuclear Medicine. 2015, 46, 4: 1171-1174.
[5] Agaly H, Tounkara M, Diallo M, Sogoba B, Sogoba Y, Dama M, Kanikomo D. Kyste Épidermoïde Congénital de la Fontanelle Antérieure: À Propos d’un Cas. Health Sci. Dis. 2021, 22 (4): 87-89.
[6] Tanwir A, Malik N, Javed G, Idrees R. Dermoid cyst with no intracranial extension: A case report and literature review. Surg Neurol Int. 2019; 10: 25.
[7] Bharti P, Gupta U, Bharti SK. Rare case of anterior fontanelle epidermoid/dermoid. J Pediatr Neurosci. 2015; 10 (3): 247-9.
[8] Ponce-Ayala A, Navarro-Garcia de Llano JP, Degollado-Garcia J, Hernández-Álvarez N, Mendizabal-Guerra R. Anterior Fontanelle Dermoid Cyst: Surgical Technique. Cureus. 2021, 12; 13(7): e16348.
[9] Udina C, Calligaris L, Berti I, Cattaruzzi E, Barbi E: Inclusion cyst of anterior fontanelle. Arch Dis Child. 2020, 105: 95.
[10] Shastri D, Fisher WAM, Wood J, Quinsey C. Transillumination of an Anterior Fontanelle Dermoid Cyst. J Craniofac Surg. 2023 May 1; 34 (3): e311-e313.
[11] Makhija D, Sisodiya N, Shah H, Waghmare M. Cystic Congenital Scalp Inclusion Dermoid: A Case Report. Dev Period Med. 2016; 20 (4): 287-288.
[12] Cao L, Wang Y, Zhao L, Hu X, Cai C. Congenital dermoid inclusion cyst over the anterior fontanel in Chinese children. Clinical Dysmorphology. 2020; 29 (2): 81-85.
[13] Tateshima S, Numoto RT, Abe S, Yasue M, Abe T. Rapidly enlarging epidermoid cyst over the anterior fontanel: a case report and review of the literature. Child’s Nerv syst. 2016; 49: 875-878.
[14] Mentri N, Izirouel K, Himeur H, Khechfoud H, Zidani S, Tliba S. Les kystes épidermoïdes du crâne chez l’enfant: à propos de 3 cas et revue de la littérature. Neurochirurgie. 2019; 65, 2 –3: 135.
[15] Khalid S, Ruge J. Considerations in the management of congenital cranial dermoid cysts. J Neurosurg Pediatr. 2017; 20 (1): 30-34.
Cite This Article
  • APA Style

    Mohamed El Hassimi, C., Mamadou Salia, D., Izoudine Blaise, K., Diankinding, S., Alassane, K., et al. (2023). Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases. International Journal of Neurosurgery, 7(2), 52-55. https://doi.org/10.11648/j.ijn.20230702.17

    Copy | Download

    ACS Style

    Mohamed El Hassimi, C.; Mamadou Salia, D.; Izoudine Blaise, K.; Diankinding, S.; Alassane, K., et al. Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases. Int. J. Neurosurg. 2023, 7(2), 52-55. doi: 10.11648/j.ijn.20230702.17

    Copy | Download

    AMA Style

    Mohamed El Hassimi C, Mamadou Salia D, Izoudine Blaise K, Diankinding S, Alassane K, et al. Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases. Int J Neurosurg. 2023;7(2):52-55. doi: 10.11648/j.ijn.20230702.17

    Copy | Download

  • @article{10.11648/j.ijn.20230702.17,
      author = {Cissé Mohamed El Hassimi and Diarra Mamadou Salia and Koumaré Izoudine Blaise and Sissoko Diankinding and Kouma Alassane and Dembélé Guediouma},
      title = {Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases},
      journal = {International Journal of Neurosurgery},
      volume = {7},
      number = {2},
      pages = {52-55},
      doi = {10.11648/j.ijn.20230702.17},
      url = {https://doi.org/10.11648/j.ijn.20230702.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.17},
      abstract = {Introduction: Epidermoid cysts and dermoid cysts are uncommon benign tumors of congenital origin who result from the aberrant inclusion of ectodermal elements during closure of the neural tube between the 3rd and 5th week of embryonic development. The location of these cysts at the anterior fontanelle level is very rarely reported. These cysts evolve by gradually increasing in volume, causing aesthetic problems. Our aim is to report a case of epidermoid cyst (EC) and a case of dermoid cyst (DC) diagnosed and operated in our department. Observations: We report one case of epidermoid cyst and one case of dermoid cyst in female infants aged 10 and 4 months who presented with a subcutaneous medial fronto-parietal mass of the anterior fontanelle. These mobile, painless masses with a wide base of implantation measured 6 x 5.5 cm and 5 x 3.5 cm. After brain scan exploration, the total excision of the cysts was carried out. The postoperative progress was good without recurrence. The diagnoses of epidermoid and dermoid cysts were confirmed by histology. Conclusion: Anterior fontanelle epidermoid and dermoid cysts are congenital benign tumors who is rarely reported. They are often diagnosed in the first months of life. One piece excision gives excellent results without recurrence.
    },
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Epidermoid and Dermoid Cyst of the Anterior Fontanelle About 2 Cases
    AU  - Cissé Mohamed El Hassimi
    AU  - Diarra Mamadou Salia
    AU  - Koumaré Izoudine Blaise
    AU  - Sissoko Diankinding
    AU  - Kouma Alassane
    AU  - Dembélé Guediouma
    Y1  - 2023/12/22
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijn.20230702.17
    DO  - 10.11648/j.ijn.20230702.17
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 52
    EP  - 55
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20230702.17
    AB  - Introduction: Epidermoid cysts and dermoid cysts are uncommon benign tumors of congenital origin who result from the aberrant inclusion of ectodermal elements during closure of the neural tube between the 3rd and 5th week of embryonic development. The location of these cysts at the anterior fontanelle level is very rarely reported. These cysts evolve by gradually increasing in volume, causing aesthetic problems. Our aim is to report a case of epidermoid cyst (EC) and a case of dermoid cyst (DC) diagnosed and operated in our department. Observations: We report one case of epidermoid cyst and one case of dermoid cyst in female infants aged 10 and 4 months who presented with a subcutaneous medial fronto-parietal mass of the anterior fontanelle. These mobile, painless masses with a wide base of implantation measured 6 x 5.5 cm and 5 x 3.5 cm. After brain scan exploration, the total excision of the cysts was carried out. The postoperative progress was good without recurrence. The diagnoses of epidermoid and dermoid cysts were confirmed by histology. Conclusion: Anterior fontanelle epidermoid and dermoid cysts are congenital benign tumors who is rarely reported. They are often diagnosed in the first months of life. One piece excision gives excellent results without recurrence.
    
    VL  - 7
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Neurosurgery Department, Mother and Child Hospital Center "Le Luxembourg", Bamako, Mali; Neurosurgery Unit, Army Medical-Surgical Center, Bamako, Mali

  • Neurosurgery Department, Mother and Child Hospital Center "Le Luxembourg", Bamako, Mali; Neurosurgery Unit, Army Medical-Surgical Center, Bamako, Mali

  • Neurosurgery Department, Mother and Child Hospital Center "Le Luxembourg", Bamako, Mali

  • Neurosurgery Department, Mother and Child Hospital Center "Le Luxembourg", Bamako, Mali

  • Medical Imaging Department, Mother and Child Hospital Center “Le Luxembourg”, Bamako, Mali

  • Neurosurgery Unit, Army Medical-Surgical Center, Bamako, Mali

  • Sections