Invasive mastoid cholesterol cyst as a reason of chronic headache

In this text we present a symptomatic case of mastoid cholesterol cyst, eroding posterior cranial fossa dural plate and invading epidural space, in a 8 year old girl.

📌 3 Key Takeaways

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Objective & Hypothesis:Cholesterol cyst (or granuloma) of the temporal bone is a focal inflammatory reaction with foreign body giant cells mobilized against the presence of cholesterol crystals.

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Key Findings & Data:They grow slowly over a period of years and do not come to clinical attention until they reach a critical size and impinge upon surrounding structures.

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Conclusion & Impact:In this text we present a symptomatic case of mastoid cholesterol cyst, eroding posterior cranial fossa dural plate and invading epidural space, in a 8 year old girl.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Otoskopi · Odyometri · Çocuk

Abstract

Cholesterol cyst (or granuloma) of the temporal bone is a focal inflammatory reaction with foreign body giant cells mobilized against the presence of cholesterol crystals. They grow slowly over a period of years and do not come to clinical attention until they reach a critical size and impinge upon surrounding structures. Petrous apex lesions are more symptomatic that may be the reason why most of the reported cases of cholesterol cysts were commonly in this localization. Mastoid cholesterol cyst is generally asymptomatic and coincidently encountered in chronic otitis media surgery. In this text we present a symptomatic case of mastoid cholesterol cyst, eroding posterior cranial fossa dural plate and invading epidural space, in a 8 year old girl.

Özet

Temporal kemiğin kolesterol kistleri (veya granülomları), kolesterol kristallerine karşı ortaya çıkan yabancı cisim reaksiyonu ve granüloma formasyonu ile karakterize lezyonlardır. Büyüme süreci oldukça yavaştır ve yıllar sürer. Klinik bulgular ancak lezyonun kitle etkisiyle çevre dokulara bası yapmasıyla ortaya çıkar. Literatürde bildirilen kolesterol kist veya granülomlarının genelde petroz kemik yerleşimli olmasının nedeni, bu bölge lezyonlarının daha semptomatik seyretmesi olabilir. Mastoid kemik kolesterol kistleri genellikle asemptomatik seyrederler ve kronik otitis media cerrahisi sırasında rastlantısal olarak ortaya konulurlar. Bu yazıda, 8 yaşında bir kız çocuğunda tespit ettiğimiz, arka kafa çukuru dural levhasında geniş defekt oluşturup, epidural boşluğa invazyon yaparak kronik baş ağrısına yol açan, mastoid kemik yerleşimli bir kolesterol kisti olgusu sunulmuştur

Keywords

Otoskopi Odyometri Çocuk Kistler Kadın Baş ağrısı Mastoid Tomografi x-ışınlı bilgisayarlı Otoscopy Audiometry Child Cysts Female Headache Tomography X-Ray Computed

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Cite This Article

ALADAĞ, İ., EYİBİLEN, A., GÜVEN, M., KÖSEOĞLU, D., FİLİZ, O. N., ÖZDEMİR, O. (2005). Invasive mastoid cholesterol cyst as a reason of chronic headache. KBB-Forum, Cilt: 4 - Sayı: 4, 177–181. https://ajindex.com/articles/209325

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References (14)

Murugasu E, Yong TT, Yoon CP. Invasive middle ear cholesterol granuloma involving the basal turn of the cochlea with profound sensorineural hearing loss. Otol Neurotol. 2004
25(3):231-5. [ Özet ] 2) Lustig LR, Cheung SW, Jackler RK. Subcochlear petrous cholesterol granuloma involving the infratemporal fossa. Otolaryngol Head Neck Surg. 1998
119(6):685-9. [ Özet ] 3) Nager GT, Vanderveen TS. Cholesterol granuloma involving the temporal bone. Ann Otol Rhinol Laryngol. 1976
85(2):204-9. [ Özet ] 4) Thedinger BA, Nadol JB Jr, Montgomery WW, Thedinger BS, Greenberg JJ. Radiographic diagnosis, surgical treatment, and long-term follow-up of cholesterol granulomas of the petrous apex. Laryngoscope. 1989
99(9):896-907. [ Özet ] 5) Goldofsky E, Hoffman RA, Holliday RA, Cohen NL. Cholesterol cysts of the temporal bone: diagnosis and treatment. Ann Otol Rhinol Laryngol. 1991
100(3):181-7. [ Özet ] 6) Sheehy JL, Linthicum FH Jr, Greenfield EC. Chronic serous mastoiditis, idiopathic hemotympanum and cholesterol granuloma of the mastoid. Laryngoscope. 1969
79(7):1189-217. [ Özet ] 7) Jackler RK, Cho M. A new theory to explain the genesis of petrous apex cholesterol granuloma. Otol Neurotol. 2003
24(1):96-106. [ Özet ] 8) Miura M, Sando I, Orita Y, Hirsch BE. Histopathologic study of the temporal bones and Eustachian tubes of children with cholesterol granuloma. Ann Otol Rhinol Laryngol. 2002
111(7):609-15. [ Özet ] 9) Luo L, Gong S, Bai G, Wang J. A retrospective study on cholesteatoma otitis media coexisting with cholesterol granuloma. J Huazhong Univ Sci Technolog Med Sci. 2002
22(2):168-70. [ Özet ] 10) Brodkey JA, Robertson JH, Shea JJ 3rd, Gardner G. Cholesterol granulomas of the petrous apex: combined neurosurgical and otological management. J Neurosurg. 1996
85(4): 625-33. [ Özet ] 11) Novo Ruiz JJ, Videgain G, Gondra R, Valcarcel F, Uriguen M. [Mastoid cholesterol granuloma with intracranial invasion] Acta Otorrinolaringol Esp. 2002
53(4):285-8. [ Özet ] 12) Valvassori GE, Buckingham RA. Middle ear masses mimicking glomus tumors: radiographic and otoscopic recognition. Ann Otol Rhinol Laryngol. 1974
83(5):606-12. [ Özet ] 13) Mosnier I, Cyna-Gorse F, Grayeli AB, Fraysse B, Martin C, Robier A, Gardini B, Chelikh L, Sterkers O. Management of cholesterol granulomas of the petrous apex based on clinical and radiologic evaluation. Otol Neurotol. 2002
23(4):522-8. [ Özet ] 14) Greenberg JJ, Oot RF, Wismer GL, Davis KR, Goodman ML, Weber AE, Montgomery WW.