Paucisymptomatic Dermoid Cyst with Fatal Outcome

We report the case of a 5‐month‐old girl who presented with a crusted lesion of the occipital region of the scalp. Clinical examination noted skin abnormalities suggestive of occult dysraphism. Magnetic resonance imaging (MRI) was recommended, however, 40 days after this evaluation, and before the MRI could be performed, the girl presented with neurologic complications. Unfortunately, the diagnosis of dermoid cyst was made after the onset of severe complications that led to her death. The findings in this case emphasize the importance of more prompt MRI evaluation, particularly in cases where cranial or spinal dysraphism is suspected to have any connection to the skin as a pit or tract. Should we perform an urgent MRI for any cutaneous sign of dysraphism to avoid a dramatic evolution?

Source: Pediatric Dermatology - July 27, 2016 Category: Dermatology Authors: Khadija Sellami, Hend Chaabane, Hela Fourati, Abderrahmen Masmoudi, Zeineb Mnif, Madiha Mseddi, Hamida Turki Tags: Case Report Source Type: research