Parietal Epidural Dermoid Mimicking a Scalp Abscess in an Infant: Case Report

Authors

  • Yam B Roka Associate Professor, Neurosurgical Unit, Department of Surgery. B. P. Koirala Institute of Health Sciences, Dharan
  • A Bajracharya Resident in Surgery, Neurosurgical Unit, Department of Surgery. B. P. Koirala Institute of Health Sciences, Dharan
  • K Shrestha Resident in Surgery, Neurosurgical Unit, Department of Surgery. B. P. Koirala Institute of Health Sciences, Dharan
  • S Khaniya Assistant Professor, Neurosurgical Unit, Department of Surgery. B. P. Koirala Institute of Health Sciences, Dharan

DOI:

https://doi.org/10.3126/jnps.v29i2.2048

Keywords:

Dermoid, Scalp abscess

Abstract

Scalp masses that involve the scalp or the cranium especially over the parietal bone are uncommon presentation in infants. We report a case of an 8-week old female child who presented with a left parietal scalp mass which had been progressively increasing since birth. CT scan revealed the mass extending into the cranium with underlying bone defect over the parietal area, with medial extension till the sagittal suture. Intraoperatively there was presence of thick white infected flaky material with small tufts of hair which was removed completely till the bone edges and from the epidural space. There was no recurrence postoperatively and the baby was discharged after a week of antibiotics. This case provides an example that simple looking scalp masses in infants and children should be managed with caution to prevent further morbidity.

Key words: Dermoid, Scalp abscess  

doi: 10.3126/jnps.v29i2.2048

J. Nepal Paediatr. Soc. Vol 29, No. 2, pp.98-100

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Published

2009-07-16

How to Cite

Roka, Y. B., Bajracharya, A., Shrestha, K., & Khaniya, S. (2009). Parietal Epidural Dermoid Mimicking a Scalp Abscess in an Infant: Case Report. Journal of Nepal Paediatric Society, 29(2), 98–100. https://doi.org/10.3126/jnps.v29i2.2048

Issue

Section

Brief Reports/Case Reports/Case Series