Microsurgical Treatment of Epidermoids. Case Report and Literature Review
https://doi.org/10.29413/ABS.2019-4.2.16
Abstract
The aim of the research: study the features of surgical treatment of epidermoids.
Materials and methods. We present a literature review and the clinical case of surgical treatment of a patient with epidermoid. We have searched medical databases: Medline, Russian Science Citation Index, EMedicine, United Medical Knowledge Base. We considered the features of the clinic, diagnosis, and surgical intervention. The article presents a clinical example of successful surgical treatment of a patient with an epidermoid cyst of the posterior cranial fossa. The result of the literature review was the writing of a clinical lecture; the current state of the issue of etiopathogenesis, diagnosis and management of patients with epidermoids was studied.
Results. The authors found that total microsurgical removal is the method of choice, and the operative technique should be aimed at preventing postoperative aseptic meningitis. Although it was not possible to establish the cause of the development of aseptic meningitis, the authors assume that the mechanism of its formation lies in the self-breaking of the capsule of the epidermoid cyst, probability of which was confirmed by a number of studies. Further study of this pathology is a promising direction in neurosurgery.
Conclusion. Difficulties in the diagnosis and choice of surgical tactics point at the need for detailed preoperative planning of surgical intervention, performing a precise total removal of a lesion with compliance with preventive measures for aseptic meningitis to improve clinical results and reduce the incidence of perioperative complications.
About the Authors
V. A. Byvaltsev
Irkutsk State Medical University (, Russian Federation); Railway Clinical Hospital at the Station of Irkutsk-Passazhirskiy OAO RZD; Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Vadim A. Byvaltsev – Dr. Sc. (Med.), Head of the Department of Neurosurgery and Innovative Medicine; Chief Neurosurgeon of OAO “RZD”; Head of the Neurosurgery Center, Railway Clinical Hospital at the Station of Irkutsk-Passazhirskiy OAO “RZD”; Deputy Director for International and Innovative Activities, Irkutsk Scientific Centre of Surgery and Traumatology; Professor at the Department of Traumatology, Orthopedics and Neurosurgery
ul. Krasnogo Vosstaniya 1, Irkutsk 664003; ul. Botkina 10, Irkutsk 664005; ul. Bortsov Revolyutsii 1, Irkutsk 664003; Yubileyny 100, Irkutsk 664049
A. A. Kalinin
Irkutsk State Medical University; Railway Clinical Hospital at the Station of Irkutsk-Passazhirskiy OAO RZD
Russian Federation
Russian Federation
Andrey A. Kalinin – Cand. Sc. (Med.), Associate Professor at the Department of Neurosurgery and Innovative Medicine; Neurosurgeon
ul. Krasnogo Vosstaniya 1, Irkutsk 664003; ul. Botkina 10, Irkutsk 664005
E. G. Belykh
Irkutsk State Medical University
Russian Federation
Russian Federation
Evgenii G. Belykh – Neurosurgeon, Department of Neurosurgery and Innovative Medicine
ul. Krasnogo Vosstaniya 1, Irkutsk 664003
S. L. Antipina
Railway Clinical Hospital at the Station of Irkutsk-Passazhirskiy OAO RZD
Russian Federation
Russian Federation
Svetlana L. Antipina – Pathologist
ul. Botkina 10, Irkutsk 664005
D. I. Badaguev
Irkutsk State Medical University
Russian Federation
Russian Federation
Dmitry I. Badaguev – Resident of the Department of Neurosurgery and Innovative Medicine
ul. Krasnogo Vosstaniya 1, Irkutsk 664003
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Review
For citations:
Byvaltsev V.A., Kalinin A.A., Belykh E.G., Antipina S.L., Badaguev D.I. Microsurgical Treatment of Epidermoids. Case Report and Literature Review. Acta Biomedica Scientifica. 2019;4(2):114-121. (In Russ.) https://doi.org/10.29413/ABS.2019-4.2.16
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