In this paper, we will present a case of a 63-year-old female with bifrontal epidermoid tumor who has gone under bilateral craniotomy. In a case report study, a 63-year-old female with a chief complaint of progressive headache that has been admitted to Department of Neurosurgery was studied. Magnetic resonance imaging was performed for better evaluation. After detection of bifrontal epidermoid cyst, the patient underwent surgery, and following the surgery, a cut of the tumor has been excised, sent for pathology sampling and reviewed for detection of cyst. Microscopic review of the resected part reported normal brain tissue along with sections containing parts of cyst wall covered by squamous epithelium and huge amount of irregularly stratified keratin within its lumen, which clearly emphasizes on diagnosis of a typical epidermoid tumor. Bifrontal epidermoid cyst is rare, and according to our study, the clinical symptoms and patients imaging were consistent with other studies.
Hsieh CH, Huang KM, Kao MC, Peng S, Wang CC. Hemorrhage in intracranial epidermoid cyst. J Formos Med Assoc 1996;95:173-5.
Iaconetta G, Carvalho GA, Vorkapic P, Samii M. Intracerebral epidermoid tumor: A case report and review of the literature. Surg Neurol 2001;55:218-22.
Ulivieri S, Oliveri G, Filosomi G, Miracco C. Intracranial epidermoid cyst: Case report. Ann Ital Chir 2008;79:445-6.
Abedi E, Frable MA. Epidermoid cyst of the frontal bone masquerading as frontal sinusitis. Laryngoscope 1984;94:545-6.
Albanese V, Tomasello F, Picozzi P, Sampaolo S, Spadaro A. Paramedian hourglass epidermoid extending above and below the tentorium. Surg Neurol 1982;18:356-63.
Berger MS, Wilson CB. Epidermoid cysts of the posterior fossa. J Neurosurg 1985;62:214-9.