Ruptured intracranial dermoid cyst: A rare case
Intracranial dermoid cysts are rare, congenital, non-neoplastic lesions accounting for less than 1% of all intracranial masses. They may become symptomatic upon rupture, typically due to the accumulation of sebaceous material and hair within the cyst, which can lead to aseptic chemical meningitis. We present the case of a 38-year-old male, who experienced an epileptic seizure. Imaging studies revealed a large lesion in the right temporo-frontal region, with findings most consistent with a ruptured dermoid cyst. The patient underwent near-total surgical resection, and histopathological analysis confirmed the diagnosis. Postoperative recovery was uneventful, and regular follow-up was advised. This case underscores the importance of including ruptured dermoid cysts in the differential diagnosis of cystic brain lesions, particularly in patients presenting with seizures or other neurological symptoms.