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Spontaneous regression of white epidermoid cyst of the pre-bulbar cistern in a 3-year-old child: a case report and literature review

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Abstract

We describe the first case of regression of a white epidermoid cyst in a child. White epidermoid cysts are rare benign lesions, particularly in pediatric cases. Typically, these cysts need surgical resection. However, we report the case of a 3-year-old child with recurrent aseptic meningitis, in whom CT scan and MRI revealed a white epidermoid cyst in the pre-bulbar cistern. Surprisingly, over a 5-year follow-up period, the cyst showed dramatic regression without any symptoms. This case sheds light on the potential for spontaneous regression of white epidermoid cysts in children, challenging the need for risky surgical interventions. This report opens up new perspectives on the pathophysiology and management options for this type of lesion in children.

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Authors and Affiliations

  1. Department of Pediatric Neurosurgery and Facial Surgery Children’s Hospital, 54500, Vandoeuvre les Nancy, France

    Josephine Malczuk & Olivier Klein

  2. Gr. T. Popa, University of Medicine and Pharmacy, 700115, Iasi, Romania

    Bogdan Costachescu

  3. Prof. Dr. N. Oblu” Emergency Clinical Hospital, 700309, Iasi, Romania

    Bogdan Costachescu

  4. Department of Diagnostic and Therapeutic Neuroradiology, Hopital Central, 54035, Nancy, France

    Emmanuelle Schmitt

  5. CHRU Nancy, Nancy, France

    Olivier Klein

  6. CME of CHRU Nancy, Nancy, France

    Olivier Klein

Authors
  1. Josephine Malczuk
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  2. Bogdan Costachescu
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  3. Emmanuelle Schmitt
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  4. Olivier Klein
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Contributions

J.M and O.K wrote the main manuscrit. E.M prepared all the figures. All authors reviewed the manuscrit.

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Correspondence to Josephine Malczuk.

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Malczuk, J., Costachescu, B., Schmitt, E. et al. Spontaneous regression of white epidermoid cyst of the pre-bulbar cistern in a 3-year-old child: a case report and literature review. Childs Nerv Syst 39, 3065–3070 (2023). https://doi.org/10.1007/s00381-023-06140-7

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  • DOI: https://doi.org/10.1007/s00381-023-06140-7

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