{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:13:16Z","timestamp":1788509596296,"version":"build-2803163510"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The development of a slowly enlarging epidermoid cyst (EC) near a scalp incision following titanium mesh cranioplasty (TMC), with subsequent progression to an epidural abscess after resection, represents an exceedingly rare iatrogenic complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>\n                      A 68-year-old male, who had undergone decompressive craniectomy followed by staged bilateral TMC 5 years earlier for traumatic brain injury, presented with a solitary scalp mass that had been noted 1 year prior. Six months after the mass was resected, the patient developed an epidural abscess. Pathological examination confirmed the diagnosis of an EC, chronic inflammation, and\n                      <jats:italic>Staphylococcus epidermidis<\/jats:italic>\n                      growth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case suggests that the EC and subsequent abscess were likely related to the prior TMC, highlighting this clinical course as a rare but serious iatrogenic complication of the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_1080_2025","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:28:10Z","timestamp":1788506890000},"page":"502","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidermoid cyst and abscess following titanium mesh cranioplasty: A rare case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Yiping","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Zhangjiagang Third People\u2019s Hospital, Zhangjiagang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaochun","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Pathology, Zhangjiagang Third People\u2019s Hospital, Zhangjiagang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuluan","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Pathology, Suzhou Science and Technology Town Hospital, Affiliated Hospital of Nanjing University Medical School, Suzhou, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoqing","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Suzhou Science and Technology Town Hospital, Affiliated Hospital of Nanjing University Medical School, Suzhou, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Suzhou Science and Technology Town Hospital, Affiliated Hospital of Nanjing University Medical School, Suzhou, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhangjiagang Third People\u2019s Hospital, Zhangjiagang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhangjiagang Third People\u2019s Hospital, Zhangjiagang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyu","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Suzhou Science and Technology Town Hospital, Affiliated Hospital of Nanjing University Medical School, Suzhou, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Second Affiliated Hospital of Soochow University, Suzhou Medical College of Soochow University, Suzhou, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"10.25259\/SNI_1080_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1097\/SCS.0000000000003504","article-title":"Iatrogenic intradiploic epidermoid cyst following strip craniectomy for sagittal craniosynostosis","volume":"28","author":"Friel","year":"2017","journal-title":"J Craniofac Surg"},{"key":"10.25259\/SNI_1080_2025\/ref-2","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s00701-024-06388-1","article-title":"Risk factors 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