{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:30:45Z","timestamp":1787740245321,"version":"build-2784847793"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5-6","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dermoid cysts are a variation of teratoma made up of ectoderm and mesoderm and represent a large proportion of scalp and skull masses found in children. Orbital dermoid cysts are an exceedingly rare form of primary orbital tumors. We present a case of a 25-year-old active duty male presenting with new onset migraines, eye pain on waking, and intermittent blurred vision. According to current clinical practice guidelines, intracranial imaging was obtained, which revealed an orbital mass. The mass was successfully excised, and surgical pathology confirmed the diagnosis of an orbital dermoid cyst. We examine this clinical presentation as a way to reinforce primary care clinical practice guidelines. Orbital dermoid cysts are a rare diagnosis, especially in the primary care setting and typically present with symptoms that are often quite subtle. This case serves as an example to primary care providers and other physicians to have a low threshold for intracranial imaging in new-onset headaches or a change in the pattern of chronic headaches.<\/jats:p>","DOI":"10.1093\/milmed\/usaf341","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T07:55:43Z","timestamp":1750233343000},"page":"e1306-e1310","source":"Crossref","is-referenced-by-count":1,"title":["Ruptured Orbital Dermoid Cyst Masked as a Migraine in a 25-Year-Old Male"],"prefix":"10.1093","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1503-6307","authenticated-orcid":false,"given":"Ashley M","family":"Maitland","sequence":"first","affiliation":[{"name":"Marine Centered Medical Home, Marine Corps Air Station , Yuma, AZ 85365,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan E","family":"Wolf","sequence":"additional","affiliation":[{"name":"Marine Centered Medical Home, Marine Corps Air Station , Yuma, AZ 85365,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason H","family":"Wong","sequence":"additional","affiliation":[{"name":"Marine Centered Medical Home, Marine Corps Air Station , Yuma, AZ 85365,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose T","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Marine Centered Medical Home, Marine Corps Air Station , Yuma, AZ 85365,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd J","family":"Mondzelewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"2026050517480496400_usaf341-B1","first-page":"260","article-title":"Acute headache in adults: a diagnostic approach","volume":"106","author":"Viera","year":"2022","journal-title":"Am Fam Physician"},{"key":"2026050517480496400_usaf341-B2","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1111\/head.13720","article-title":"Neuroimaging for migraine: the American Headache Society systematic review and evidence-based guideline. headache","volume":"60","author":"Evans","year":"2020","journal-title":"J Head Face Pain"},{"key":"2026050517480496400_usaf341-B3","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/s0895-6111(05)80051-5","article-title":"A comparative study of magnetic resonance imaging and computed tomography in the evaluation of migraine","volume":"14","author":"Kuhn","year":"1990","journal-title":"Computer Med Imag Graph"},{"key":"2026050517480496400_usaf341-B4","doi-asserted-by":"publisher","first-page":"e247105","DOI":"10.1136\/bcr-2021-247105","article-title":"Asymptomatic rupture of an intracranial dermoid cyst: to intervene or not to intervene?","volume":"15","author":"Wilson","year":"2022","journal-title":"BMJ Case Reports"},{"key":"2026050517480496400_usaf341-B5","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1002\/jhrm.21385","article-title":"Missed diagnosis of cancer in primary care: insights from malpractice claims data","volume":"39","author":"Aaronson","year":"2019","journal-title":"J Healthcare Risk Manag"},{"key":"2026050517480496400_usaf341-B6","first-page":"860","article-title":"Dermoid cyst with intracranial extension presenting with headache","volume":"30","author":"Ahmed","year":"2021","journal-title":"Mymensingh Med J"},{"key":"2026050517480496400_usaf341-B7","first-page":"349","article-title":"Craniofacial demoid cysts: histological analysis and inter-site comparison","volume":"87","author":"Reissis","year":"2014","journal-title":"Yale J Biol Med"},{"key":"2026050517480496400_usaf341-B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bcr-2021-247105","article-title":"Asymptomatic rupture of an intracranial dermoid cyst: to intervene or not to intervene?","volume":"15","author":"Wilson","year":"2022","journal-title":"BMJ"},{"key":"2026050517480496400_usaf341-B9","doi-asserted-by":"publisher","first-page":"e939411","DOI":"10.12659\/AJCR.939411","article-title":"Dermoid cyst of the parotid gland: case report of a rare entity and review of the literature","volume":"24","author":"Alhusain","year":"2023","journal-title":"Am J Case Rep"},{"key":"2026050517480496400_usaf341-B10","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s007010050079","article-title":"Mature teratoma of the lateral ventricle: report of two cases","volume":"140","author":"Sel\u00e7uki","year":"1998","journal-title":"Acta Neurochirurgica"},{"key":"2026050517480496400_usaf341-B11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/0300060520934984","article-title":"Dermoid cyst with a congenital sinus tract over the left sternoclavicular joint: a case report and literature review","volume":"48","author":"Chang","year":"2020","journal-title":"J Int Med Res"},{"key":"2026050517480496400_usaf341-B12","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.jcjo.2019.08.005","article-title":"Orbital and periorbital dermoid\/epidermoid cyst: a series of 280 cases and a brief review","volume":"55","author":"Pushker","year":"2020","journal-title":"Can J Ophthalmol"},{"key":"2026050517480496400_usaf341-B13","doi-asserted-by":"publisher","first-page":"e2403","DOI":"10.7759\/cureus.2403","article-title":"Dermoid cyst of the floor of the mouth: diagnostic imaging findings","volume":"10","author":"Giarraputo","year":"2018","journal-title":"Cureus"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/5-6\/e1306\/63674723\/usaf341.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/191\/5-6\/e1306\/63674723\/usaf341.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T22:19:01Z","timestamp":1778019541000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/191\/5-6\/e1306\/8186997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,25]]},"references-count":13,"journal-issue":{"issue":"5-6","published-online":{"date-parts":[[2025,6,25]]},"published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaf341","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2025,6,25]]}}}