Summary
MRI of four patients with spontaneously ruptured middle cranial fossa dermoids was reviewed. In all patients, MRI clearly demonstrated the primary tumour, and T1-weighted images showed high signal areas with fatfluid levels in the ventricles(3/4) and/or high signal spots in the cerebrospinal fluid (CSF) spaces(4/4). Signal intensity of these areas decreased as images became more heavily T2-weighted, in accordance with the known MRI characteristics of fat. MRI was very sensitive for detection of small fat droplets within CSF and for demonstrating their exact distribution, especially on T1-weighted images.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Maravilla KR (1977) Intraventricular fat-fluid level secondary to rupture of an intracranial dermoid cyst. AJR 128:500–501
Cornell SH, Graf CJ, Dolan KD (1977) Fat-fluid level in intracranial epidermoid cyst. AJR 128:502–503
Fawcitt RA, Isherwood I (1976) Radiodiagnosis of intracranial pearly tumors with particular reference to the value of computed tomography. Neuroradiology 11:235–242
Laster DW, Moody DM, Ball MR (1977) Epidermoid tumors with intraventricular and subarachnoid fat: report of two cases. AJR 128:504–507
Amendola MA, Garfinkle WB, Ostrum BJ (1978) Preoperative diagnosis of a ruptured intracranial dermoid cyst by computerized tomography. J Neurosurg 48:1035–1037
Healy JF, Brahme FJ, Rosenkrantz H (1980) Dermoid cysts and their complications as manifested by computed cranial tomography. Comput Tomogr 4:111–115
Mikhael MA (1982) Transient spasm of carotid siphon complicating ruptured cranial dermoid cyst. Radiology 144:824
Hamer J (1980) Diagnosis by computerized tomography of intradural dermoid with spontaneous rupture of the cyst. Acta Neuro-chir (Wien) 51:219–226
Hahn FJ, Ong E, McComb RD (1986) MR imaging of ruptured intracranial dermoid. J Comput Assist Tomogr 10:888–889
Russell DS, Rubinstein LJ (1977) Pathology of tumors of the nervous system, 4th edn. Williams and Wilkins, Baltimore, pp 24–32
Carpenter MB (1985) Olfactory pathways, hippocampal formation, and amygdala. In: Core textbook of neuroanatomy, 3rd edn. Williams and Wilkins, Baltimore, pp 323–347
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag
About this paper
Cite this paper
Ohkubo, T., Sasaki, Y., Aoki, S., Machida, T., Kokubo, T. (1991). MRI of spontaneously ruptured dermoids in the middle cranial fossa. In: du Boulay, G., Molyneux, A., Moseley, I. (eds) Proceedings of the XIV Symposium Neuroradiologicum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-49329-4_103
Download citation
DOI: https://doi.org/10.1007/978-3-642-49329-4_103
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-49331-7
Online ISBN: 978-3-642-49329-4
eBook Packages: Springer Book Archive