Supratentorial epidermoid tumors: Evaluation of management options and long-term outcome

K. Kesavapisharady, G. Menon, J. Kumar, S. Nair

Research output: Contribution to journalArticle

Abstract

Epidermoid tumors form nearly 1% of spinal neoplasms and 0.2% to 1.8% of intracranial neoplasms. Intracranial epidermoids are most often located in the cerebellopontine angle, and supratentorial locations are relatively rare. We reviewed our single-institution experience of having treated 32 patients with supratentorial epidermoid tumors with an intention to contribute to the general body of knowledge of these tumors. The clinical profile, imaging characteristics, management options, and long-term outcomes were analyzed retrospectively and compared with the available literature. Supratentorial epidermoids commonly present with seizures closely followed by headache. Diffusion-weighted imaging magnetic resonance imaging is an important imaging tool both in the diagnosis and in the early detection of recurrences. Attempts at total excision can result in serious complications, especially in areas where the capsule is densely adherent to major neurovascular structures. The long-term functional outcome is not influenced by the extent of excision. Surgery should therefore aim at providing maximum tumor clearance without producing any new deficits. Copyright © 2012 by Lippincott Williams & Wilkins.
Original languageEnglish
Pages (from-to)233-244
Number of pages12
JournalNeurosurgery Quarterly
Volume22
Issue number4
DOIs
Publication statusPublished - 2012

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Supratentorial Neoplasms
Spinal Neoplasms
Cerebellopontine Angle
Neoplasms
Brain Neoplasms
Capsules
Headache
Seizures
Magnetic Resonance Imaging
Recurrence

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Kesavapisharady, K. ; Menon, G. ; Kumar, J. ; Nair, S. / Supratentorial epidermoid tumors: Evaluation of management options and long-term outcome. In: Neurosurgery Quarterly. 2012 ; Vol. 22, No. 4. pp. 233-244.
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Supratentorial epidermoid tumors: Evaluation of management options and long-term outcome. / Kesavapisharady, K.; Menon, G.; Kumar, J.; Nair, S.

In: Neurosurgery Quarterly, Vol. 22, No. 4, 2012, p. 233-244.

Research output: Contribution to journalArticle

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