Dyke-Davidoff-Masson Syndrome Associated with Epidermoid Tumour and Arachnoid Cyst: A Case Report

Year 2013, , 432 - 435, 01.04.2013

Güner Menekşe Kerem Mazhar Özsoy Tuncay Ateş Ali İhsan Ökten Aslan Güzel

https://doi.org/10.5152/balkanmedj.2013.8565

Abstract

Background: Dyke-Davidoff-Masson Syndrome (DDMS) is a rarely seen clinical entity which is characterised by cerebral hemiatrophy, contralateral hemiparesis and epilepsy. Radiological features are typical, such as unilateral atrophy of the cerebral hemisphere and associated compensatory bone changes in the skull, like thickening, enlargement of the paranasal sinuses and mastoid air cells. Case Report: In this article, we report the first case of DDMS associated with epidermoid tumour and arachnoid cyst, who underwent operation for an epidermoid tumour in the inter-hemispheric region. To our knowledge, this is the first report of DDMS associated with multiple intracranial pathologies and this association has not been previously described in the literature. Conclusion: Any patient who receives DDMS in the light of clinical and radiological findings should be investigated for concomitant pathologies. Different sequences of MRI may be useful in the diagnosis of other intracranial lesions. Turkish Başlık:Epidermoid Tümör ve Araknoid Kistin Eşlik Ettiği Dyke-Davidoff-Masson Sendromu: Olgu Sunumu Anahtar Kelimeler:Araknoid kist, Dyke-Davidoff-Masson Sendromu, epidermoid tümör Arkaplan: Dyke-Davidoff-Masson Sendromu (DDMS) serebral hemiatrofi, kontralateral hemiparezi ve epilepsy ile karakterize nadir görülen bir klinik tablodur. Radyolojik olarak tek taraflı serebral hemisfer atrofisi ve bununla ilişkili olarak kafatasında kalınlaşma, paranazal sinüslerde ve mastoid hava hücrelerinde genişleme gibi kompansatuar kemik değişiklikleri tipiktir. Olgu Sunumu: Bu makalede interhemisferik bölge yerleşimli epidermoid tumor nedeniyle opere edilen ve eş zamanlı epidermoid tumor ve araknoid kist birlikteliği saptanan DDMS olgusu sunulmuştur. Bildiğimiz kadarıyla olgumuz çoğul intrakranial patolojinin eşlik ettiği ilk DDMS olgusudur ve literatürde böyle bir birlikteliğe daha önce rastlanmamıştır. Sonuç: Klinik ve radyolojik bulgular ışığında DDMS saptanan hastalar eşlik eden diğer patolojiler için araştırılmalıdır. Farklı MR sekansları diğer intrakranial lezyonların tanısında yardımcı olabilir.

Keywords

Arachnoid cyst, Dyke-Davidoff-Masson Syndrome, epidermoid tumour

Dyke-Davidoff-Masson Syndrome Associated with Epidermoid Tumour and Arachnoid Cyst: A Case Report

Abstract

References

• 1. Dyke CG, Davidoff LM, Masson CB. Cerebral hemiatrophy with homolateral hypertrophy of the skull and sinuses. Surg Gyn Obstet 1933;57:588-600.
• 2. Slon V, Hershkovitz I, Peled N. Dyke-Davidoff-Masson syndrome in 6,000-year-old skull. Neuroradiology 2012;54:1413-5. [CrossRef]
• 3. Aguiar PH, Liu CW, Leitão H, Issa F, Lepski G, Figueiredo EG, et al. MR and CT imaging in the Dyke-Davidoff-Masson syndrome. Report of three cases and contribution to pathogenesis and differential diagnosis. Arq Neuropsiquatr 1998;56:803-7. [CrossRef]
• 4. Pendse NA, Bapna P, Menghani V, Diwan A. Dyke-Davidoff-Masson Syndrome (DDMS). Indian J Pediatr 2004;71:943. [CrossRef]
• 5. McLendon RE. Epidermoid and Dermoid tumors: Pathology. In: Wilkins RH, Rengachary SS, editors. Neurosurgery. New York: McGraw-Hill 1996; pp.959-63.
• 6. Bhat DI, Devi BI, Raghunath A, Somanna S, Chandramouli BA. Interhemispheric epidermoids- An uncommon lesion in an uncommon location: A report of 15 cases. Neurol India 2011;59:82-6. [CrossRef]
• 7. Hakyemez B, Yildiz H, Ergin N, Uysal S, Parlak M. Flair and diffusion weighted MR imaging in differentiating epidermoid cysts from arachnoid cysts. Tani Girisim Radyol 2003;9:418-26.
• 8. Osborn AG, Preece MT. Intracranialcysts: radiologic-pathologic correlation and imaging approach. Radiology 2006;239:650-64. [CrossRef]
• 9. Mulvihill JJ, Parry DM, Sherman JL, Pikus A, Kaiser-Kupfer MI, Eldridge R. NIH conference. Neurofibromatosis 1 (Recklinghausen disease) and neurofibromatosis 2 (bilateral acoustic neurofibromatosis). An update. Ann Inter Med 1990;113:39-52. [CrossRef]
• 10. Guzel A, Tatli M, Bilguvar K, Diluna ML, Bakkaloglu B , Ozturk AK, et al. Apparently novel genetic syndrome of pachygyria, mentalretardation, seizure, and arachnoid cysts. Am J M Genet A 2007;143:672-7. [CrossRef]
• 11. Kasliwal MK, Fraser JF, Greenfield JP, Schwartz TH. Simultaneous middle fossa arachnoid cyst and ambient cistern epidermoid cyst: case report and endoscope-assisted microsurgical management. Pediatr Neurosurg 2010;46:151-4. [CrossRef]