Left Sylvian Fissure Epidermoid Cyst Presenting with Progressive Aphasia
| Autor: | Georgios A. Zenonos, Robert M. Friedlander, Joshua Olexa, David T. Fernandes Cabral |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Epidermal Cyst 03 medical and health sciences 0302 clinical medicine Aphasia medicine Humans Arcuate fasciculus Cognitive Dysfunction Cyst Craniotomy Aphasia Broca Brain Diseases medicine.diagnostic_test business.industry Magnetic resonance imaging Epidermoid cyst Middle Aged medicine.disease Magnetic Resonance Imaging Temporal Lobe Diffusion Tensor Imaging medicine.anatomical_structure Expressive aphasia 030220 oncology & carcinogenesis Acute Disease Surgery Neurology (clinical) Radiology Headaches medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 120:363-367 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2018.08.164 |
| Popis: | Introduction Epidermoid cysts within the sylvian fissure are extremely rare. Expressive aphasia and neurocognitive dysfunction because of mass effect have never been reported previously. Case Presentation We discuss the case of a 53-year-old male who presented with an acute episode of expressive aphasia and vision changes along with progressive headaches and cognitive slowing over the 2.5 years prior to presentation. A detailed neurologic examination revealed subtle conductive aphasia, as well as mild short-term memory dysfunction. Magnetic resonance imaging revealed a cystic mass consistent with epidermoid cyst within the left sylvian fissure. High-definition fiber tractography showed that the arcuate fasciculus was stretched by the tumor. A left frontotemporal craniotomy allowed for near-total excision of the cyst and led to rapid and complete resolution of symptoms. Conclusion Although rare, epidermoid cysts of the dominant sylvian fissure can present with progressive aphasia due to mass effect on the arcuate fasciculus. Despite the long-standing symptoms, surgical resection can lead to their complete resolution. |
| Databáze: | OpenAIRE |
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