Surgical strategy for intracranial dermoid and epidermoid tumors: An experience with 33 Patients

Surg Neurol Int. 2014 Nov 28:5:163. doi: 10.4103/2152-7806.145764. eCollection 2014.


Background: The aim of this paper is to report on our surgical strategy and technique and to identify the best management for intracranial dermoids and epidermoids tumors (IDETs).

Methods: We retrospectively reviewed 33 consecutive patients (14 males and 19 females; mean age at surgery, 37.9 years) with pathologically confirmed IDETs who underwent surgical resection, with mean follow-up of 7.2 years.

Results: Gross total tumor removal was achieved in 24 cases (72.7%) with zero surgical mortality and a recurrence rate of 9%.

Conclusions: The surgical strategies used in this group of patients enabled total removal of most tumors without surgical mortality and with low morbidity and recurrence rates, proving to be safe and effective.

Keywords: Dermoids; epidermoids; intracranial tumors; microsurgery; surgical treatment.