caa a22 4500 477107591 CHVBK 20180405111558.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01411748 doi (NATIONALLICENCE)springer-10.1007/BF01411748 The long history of a cerebello-pontine angle epidermoid tumour — a case report and lessons learned [Elektronische Daten] [E. De Micheli, A. Bricolo] Summary: The authors present the case of a patient accurately diagnosed and operated on for an epidermoid cyst in the CPA region, 30 years after the clinical onset with the initial symptom of hypoacusis. At the time of the operation, the patient presented with advanced CPA syndrome, and the tumour had grown to an enormous size. Complete capsule removal was not attempted due to its tenacious adherence to vital neurovascular structures. Thirteen years after surgery, the patient underwent a second operation due to tumour regrowth. The case provides supporting evidence that the clinical findings of a CPA epidermoid cyst may be minimal, and remain so for extended periods of time until the tumour has spread widely. Epidermoids tend to insinuate in the cisterns around cranial nerves, blood vessels, and the brainstem, rather than compressing these structures. The importance of early detection and radical removal, presently facilitated by Magnetic Resonance Imaging, is emphasized. Springer-Verlag, 1996 Cerebello-pontine angle nationallicence CT scan nationallicence epidermoid nationallicence MRI nationallicence De Micheli E. Department of Neurologic Sciences and Vision, Section of Neurosurgery, University of Verona, Italy aut Bricolo A. Department of Neurologic Sciences and Vision, Section of Neurosurgery, University of Verona, Italy aut Acta Neurochirurgica Springer-Verlag 138/3(1996-03-01), 350-354 0001-6268 138:3<350 1996 138 701 https://doi.org/10.1007/BF01411748 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411748 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- De Micheli E. Department of Neurologic Sciences and Vision, Section of Neurosurgery, University of Verona, Italy aut NATIONALLICENCE 700 1- Bricolo A. Department of Neurologic Sciences and Vision, Section of Neurosurgery, University of Verona, Italy aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/3(1996-03-01), 350-354 0001-6268 138:3<350 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer