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• W2425697076 abstract "Intracranial epidermoids are comparatively rare, the reported incidence being somewhat variable, probably less than 1 per cent of all brain tumours. Intraventricular epidermoids are even less common but, when present, produce a characteristic pneumographic appearance which cannot easily be mistaken for any other lesion. This was first noted by Krieg (1), in 1936, who published, two such cases, in one of which he observed irregular rounded shadows in the ventricle. Quite independently, in 1937, Dyke and Davidoff (2) reported a large right intraventricular epidermoid cyst which was successfully removed. They described an appearance in the encephalogram of irregularly shaped collections of gas distributed through that portion of the right middle fossa normally occupied by the thalamus, island of Reil, temporal lobe, and posterior portion of the frontal lobe. There was slight lateral displacement of the ventricular system, and the right frontal horn and the anterior portion of the lateral ventricle were elevated. Dyke (3) later reported a similar case in which the tumour was situated in the posterior thirds of the lateral ventricles and again he noted large irregular streaks of gas which passed through the substance of the tumour and the area of brain normally occupied by the splenium of the corpus callosum. He felt that this was due to folds in the walls of the tumour. Weinberger (4) reported two more cases in 1938, one of them verified, and he remarked upon the “sponge-like” appearance after gas injection. Peyton and Baker (5), in 1942, reported 14 cases of epidermoid and teratomatous tumours of the central nervous system, one of which was an intraventricular epidermoid. The encephalogram in this instance revealed a large cystic area partially filled with air and partially with tumour, situated in the region of the right parietal and occipital lobes and occupying the ventricle but extending far beyond its normal confines. There was displacement of the left lateral ventricle to the left. In view of the comparatively small number of such cases in the literature diagnosed preoperatively, it is felt to be worth while to report the following case, as it shows the typical pneumographic features of an intraventricular epidermoid that progressed to an extreme size. Except for the progression of the symptoms and moderately raised spinal fluid pressure, an expanding intracranial lesion would not have been suspected. In fact, at different times in the illness such diagnoses as hysteria, disseminated sclerosis, and Parkinson's disease were considered. Case Report I. D., a 37-year-old white female, was admitted to the Montreal Neurological Institute on Oct. 1, 1944, complaining of weakness of the legs and difficulty in walking. For fifteen years she had been employed as a clerk in the office of a large insurance company without missing a day from work on account of illness." @default.
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• W2425697076 date "1947-01-01" @default.
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• W2425697076 title "Pneumographic Diagnosis of Intraventricular Epidermoid" @default.
• W2425697076 doi "https://doi.org/10.1148/48.1.56" @default.
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