# A Case Report of Ruptured Intracranial Dermoid Cyst

## TL;DR

A 45-year-old woman with a ruptured intracranial dermoid cyst was successfully treated surgically, leading to full recovery.

## Contribution

This case report adds to the clinical understanding of intracranial dermoid cysts through a detailed presentation of diagnosis and treatment.

## Key findings

- Computed tomography identified multiple extra-axial intracranial fat density lesions.
- Cerebrospinal fluid analysis showed increased white blood cell count, indicating inflammation.
- Surgical removal of the cyst resulted in complete symptom resolution and recovery.

## Abstract

Intracranial dermoid cysts, rare congenital lesions originating from ectodermal elements during neural tube closure, are explored in the context of a 45-year-old female presenting with a sudden-onset severe headache, nausea, and vomiting. A thorough neurological examination revealed no focal deficits, prompting a computed tomography scan that identified multiple extra-axial intracranial fat density lesions indicative of dermoid cysts. Laboratory and cerebrospinal fluid analysis confirmed inflammatory changes, characterized by an increased white blood cell count. Successful surgical intervention followed, resulting in the complete removal of the cyst and the patient's subsequent full recovery with the resolution of symptoms. This case highlights the intricate nature of intracranial dermoid cysts and underscores the critical importance of prompt recognition in effectively mitigating potential complications.