Ruptured dermoid tumor of the cavernous sinus associated with the syndrome of fat embolism

Case report

Franco DeMonte Division of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois

Search for other papers by Franco DeMonte in
Current site
Google Scholar
PubMed
Close
 M.D., F.R.C.S.(C)
and
Ossama Al-Mefty Division of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois

Search for other papers by Ossama Al-Mefty in
Current site
Google Scholar
PubMed
Close
 M.D.
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $536.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $636.00
USD  $45.00
USD  $536.00
USD  $636.00
Print or Print + Online Sign in

✓ The syndrome of fat embolism is a well-known clinicopathological entity that may appear 2 to 4 days after skeletal trauma; nontraumatic causes have been recognized, however. This report details the fat embolism syndrome occurring in a patient after surgery within the cavernous sinus to remove a dermoid tumor.

  • Collapse
  • Expand
  • 1.

    Al-Mefty O: Surgery of the Cranial Base. Boston: Kluwer, 1989 Al-Mefty O: Surgery of the Cranial Base. Boston: Kluwer, 1989

  • 2.

    Al-Mefty O, & Smith RR: Surgery of tumors invading the cavernous sinus. Surg Neurol 30:370381, 1988 Al-Mefty O, Smith RR: Surgery of tumors invading the cavernous sinus. Surg Neurol 30:370–381, 1988

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Baxter JW, & Netsky MG: Epidermoid and dermoid tumors: pathology, in Wilkins RH, & Rengachary SS (eds): Neurosurgery. New York: McGraw-Hill, 1985, Vol 1, pp 655661 Baxter JW, Netsky MG: Epidermoid and dermoid tumors: pathology, in Wilkins RH, Rengachary SS (eds): Neurosurgery. New York: McGraw-Hill, 1985, Vol 1, pp 655–661

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Ford K, , Drayer B, & Osborne D, et al: Transient cerebral ischemia as a manifestation of ruptured intracranial dermoid cyst. J Comput Assist Tomogr 5:895897, 1981 Ford K, Drayer B, Osborne D, et al: Transient cerebral ischemia as a manifestation of ruptured intracranial dermoid cyst. J Comput Assist Tomogr 5:895–897, 1981

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Guidetti B, & Gagliardi FM: Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 47:1218, 1977 Guidetti B, Gagliardi FM: Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg 47:12–18, 1977

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Jamjoom AB, & Cummins BH: The diagnosis of ruptured intracranial dermoid cysts. Br J Neurosurg 3:609612, 1989 Jamjoom AB, Cummins BH: The diagnosis of ruptured intracranial dermoid cysts. Br J Neurosurg 3:609–612, 1989

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Laub DR Jr, & Laub DR: Fat embolism syndrome after liposuction: a case report and review of the literature. Ann Plast Surg 25:4852, 1990 Laub DR Jr, Laub DR: Fat embolism syndrome after liposuction: a case report and review of the literature. Ann Plast Surg 25:48–52, 1990

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Lindeque BGP, , Schoeman HS, & Dommisse GF, et al: Fat embolism and the fat embolism syndrome. A double-blind therapeutic study. J Bone Joint Surg (Br) 69:128131, 1987 Lindeque BGP, Schoeman HS, Dommisse GF, et al: Fat embolism and the fat embolism syndrome. A double-blind therapeutic study. J Bone Joint Surg (Br) 69:128–131, 1987

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Lunardi P, & Missori P: Supratentorial dermoid cysts. J Neurosurg 75:262266, 1991 Lunardi P, Missori P: Supratentorial dermoid cysts. J Neurosurg 75:262–266, 1991

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Manlapaz JS: Ruptured intracranial dermoid. Report of a case and survey of previously reported cases. Am J Surg 100:723730, 1960 Manlapaz JS: Ruptured intracranial dermoid. Report of a case and survey of previously reported cases. Am J Surg 100:723–730, 1960

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Maravilla KR: Intraventricular fat-fluid level secondary to rupture of an intracranial dermoid cyst. AJR 128:500501, 1977 Maravilla KR: Intraventricular fat-fluid level secondary to rupture of an intracranial dermoid cyst. AJR 128:500–501, 1977

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Martin R, , Krone A, & Schuknecht B, et al: Rapid development of occlusion hydrocephalus by intraventricular fat possibly derived from a ruptured dermoid cyst. J Neurol Neurosurg Psychiatry 52:134135, 1989 (Letter) Martin R, Krone A, Schuknecht B, et al: Rapid development of occlusion hydrocephalus by intraventricular fat possibly derived from a ruptured dermoid cyst. J Neurol Neurosurg Psychiatry 52:134–135, 1989 (Letter)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Mikhael MA: Transient spasm of carotid siphon complicating ruptured cranial dermoid cyst. Radiology 144:824, 1982 Mikhael MA: Transient spasm of carotid siphon complicating ruptured cranial dermoid cyst. Radiology 144:824, 1982

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Parkinson D, & West M: Lesions of the cavernous plexus region, in Youmans JR (ed): Neurological Surgery, ed 3. Philadelphia: WB Saunders, 1990, Vol 5, pp 33513370 Parkinson D, West M: Lesions of the cavernous plexus region, in Youmans JR (ed): Neurological Surgery, ed 3. Philadelphia: WB Saunders, 1990, Vol 5, pp 3351–3370

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Peltier LF: Fat embolism. A perspective. Clin Orthop 232:263270, 1988 Peltier LF: Fat embolism. A perspective. Clin Orthop 232:263–270, 1988

  • 16.

    Rubin G, , Scienza R, & Pasqualin A, et al: Craniocerebral epidermoids and dermoids. A review of 44 cases. Acta Neurochir 97:116, 1989 Rubin G, Scienza R, Pasqualin A, et al: Craniocerebral epidermoids and dermoids. A review of 44 cases. Acta Neurochir 97:1–16, 1989

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Sekhar LN, & Sen CN: Surgical treatment of tumors involving the cavernous sinus, in Wilkins RH, & Rengachary SS (eds): Neurosurgery Update I: Diagnosis, Operative Technique, and Neuro-Oncology. New York: McGraw-Hill, 1990, pp 334345 Sekhar LN, Sen CN: Surgical treatment of tumors involving the cavernous sinus, in Wilkins RH, Rengachary SS (eds): Neurosurgery Update I: Diagnosis, Operative Technique, and Neuro-Oncology. New York: McGraw-Hill, 1990, pp 334–345

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Serota ML: Fat embolism syndrome. West J Med 141:501505, 1984 Serota ML: Fat embolism syndrome. West J Med 141:501–505, 1984

  • 19.

    Tytus JS, & Pennybacker J: Pearly tumours in relation to the central nervous system. J Neurol Neurosurg Psychiatry 19:241259, 1956 Tytus JS, Pennybacker J: Pearly tumours in relation to the central nervous system. J Neurol Neurosurg Psychiatry 19:241–259, 1956

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Van Besouw JP, & Hinds CJ: Fat embolism syndrome. Br J Hosp Med 42:304311, 1989 Van Besouw JP, Hinds CJ: Fat embolism syndrome. Br J Hosp Med 42:304–311, 1989

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Wilms G, , Casselman J, & Demaerel P, et al: CT and MRI of ruptured intracranial dermoids. Neuroradiology 33:149151, 1991 Wilms G, Casselman J, Demaerel P, et al: CT and MRI of ruptured intracranial dermoids. Neuroradiology 33:149–151, 1991

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Yaşargil MG, , Abernathey CD, & Sarioglu AC: Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24:561567, 1989 Yaşargil MG, Abernathey CD, Sarioglu AC: Microneurosurgical treatment of intracranial dermoid and epidermoid tumors. Neurosurgery 24:561–567, 1989

    • PubMed
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 787 124 4
Full Text Views 164 9 0
PDF Downloads 88 1 0
EPUB Downloads 0 0 0