1. Surgery of intracranial epidermoid cyst (cholesteatoma): An expirience of 15 cases
*Author : dr Milenko Stanić
Coauthor : dr R. Vujović , dr M. Spaić , dr R. Benović , dr M. Marković , Dr M. Samardžić , dr I. Popović
Institution: Department of Neurosurgery,
Clinical center Zemun, Belgrade, Serbia

2. Introduction
Intracranial epidermoid cyst are benign lesions representing 1% of all intracranial tumors , developed from ectodermal inclusion.
These cysts are potentially curable that are sometimes assosiated with perioperative complications and tend to recur if not completely removed.

3. Aim
To report our experience in surgery of intracranial epidermoid cyst regarding the localization of the tumor, surgical managment strategy with completeness of excision, duration of symptoms and postoperative complication.

4. Materials and Methods
This study retrospectively evaluated on 15 cases of intracranial epidermoid cyst treated between January 2000 to June 2013 at the Department of Neurosurgery Clinical center Zemun
follow-up was at least six months

5. Materials and Methods Analysis patient according to: Sex & age
Localisation
Degree of resection
Duration of symptoms
Postoperative complication

6. Results
There were nine male and six female in the series. The average age was 42,6 years .
Common clinical presentations included : headache, cerebellar dysfunction, cranial nerve impairment, and seizures.
The duration of the disease at admission varied between fifth months to four years.

7. Results
Nine (60%) patients were infartentorial , fifth patients were (33,3%) supratentorial and one patient was supra and infratentorial localization.

8. Results
The resection was total in seven (46,6%) cases and subtotal in eight (53,4%) of cases .
Post-operative aseptic/chemical meningitis developed four patients (26.7%) and deterioration of neurological deficit three (20%) patients.
Mortality rate was 6,67%.

9. Postoperative complication
Case No
Age/Sex
Lesion localisation
Duration of symptoms
Degree of resection
Postoperative complication
1.J.N.
48/male
CPA
2 years
incomplete
none
2. Z.B.
52/female
parasellar
16 months
aseptic meningitis
3. P.M.
63/male
diploice
1 year
complete
4. J.M.
25/female
5 years
5. N.S.
51/male
9 months
VII et VIII cranial lesion
6.M.R.
62/male
CPA&parasellar
7.Lj.Z.
46/female
fourth venricle
5 months
8.Z.G.
29/male
hemiparesis
9. M.J.
52/ female
3 years
10.Z.Ž.
61/female
fourth ventricle
6 months
11. V.R.
45/male
12. N.K.
57/female
8 months
13. Z.M.
39/male
12 months
14. R.Z.
36/male
15.G.Z.
20 months

10. Conclusion Epidermoid cysts are characterized by a long evolution.
The diagnosis is relatively characteristic in the imagery
Prognosis was favorable with a complete surgical resection.