{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:56:08Z","timestamp":1770353768535,"version":"3.49.0"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"14","license":[{"start":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:00:00Z","timestamp":1696204800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Intracranial epidermoid cysts (ECs) are rare benign lesions of ectodermal origin that can be found in the cerebellopontine angle (CPA). If large enough, they compress surrounding structures, causing cranial neuropathies, cerebellar dysfunction, and hydrocephalus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>In this case report, the authors present a patient with headaches and diplopia secondary to a CPA EC. The cyst had wrapped itself around and was strangulating the abducens nerve. This choking of the nerve was believed to have been the cause of the patient\u2019s double vision. The arachnoid band was released with a myringotomy knife.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Intracranial ECs typically cause symptoms from mass effect on surrounding structures; it is unusual for one to have choked off the nerve in the fashion presented in this case. Knowledge of the potential ways that ECs can affect nervous structures is critical for resecting them without injuring normal tissue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23383","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:25:26Z","timestamp":1696281926000},"source":"Crossref","is-referenced-by-count":0,"title":["Strangulation of the abducens nerve by an arachnoid band within an epidermoid cyst: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Jacob","family":"Kosarchuk","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shrey","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter","family":"Dent","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl B","family":"Heilman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Clin Imaging","first-page":"1","article-title":"Intracranial \u201cwhite\u201d epidermoid tumours--an imaging approach and systematic review","volume":"91","author":"Loy LM","year":"2022","unstructured":"Loy LM, Aftab S, Ang YLS, Ding SLC, Ho CL. Intracranial \u201cwhite\u201d epidermoid tumours--an imaging approach and systematic review. Clin Imaging. 2022;91:1\u20138."},{"issue":"3","key":"b2","series-title":"Radiology","first-page":"650","article-title":"Intracranial cysts: radiologic-pathologic correlation and imaging approach","volume":"239","author":"Osborn AG","year":"2006","unstructured":"Osborn AG, Preece MT. Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology. 2006;239(3):650\u2013664."},{"issue":"6","key":"b3","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"e113","article-title":"Epidermoid cyst of the temporal region","volume":"112","author":"Boffano P","year":"2011","unstructured":"Boffano P, Roccia F, Campisi P, Zavattero E, Gallesio C, Bosco GF. Epidermoid cyst of the temporal region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):e113\u2013e116."},{"issue":"2","key":"b4","series-title":"Neurosurg Rev","first-page":"259","article-title":"Cerebellopontine angle epidermoid cysts: clinical presentations and surgical outcome","volume":"39","author":"Hasegawa M","year":"2016","unstructured":"Hasegawa M, Nouri M, Nagahisa S,  Cerebellopontine angle epidermoid cysts: clinical presentations and surgical outcome. Neurosurg Rev. 2016;39(2):259\u2013267."},{"key":"b5","unstructured":"Epidermoid and Dermoid Cysts. Accessed May 25, 2023. https:\/\/www.neurosurgicalatlas.com\/volumes\/cranial-base-surgery\/other-skull-base-tumors\/epidermoid-and-dermoid-cysts."},{"key":"b6","series-title":"World Neurosurg","first-page":"88","article-title":"Meckel cave epidermoid cyst presenting as multiple cranial nerve deficits due to indirect tumoral compression of the cavernous sinus: a case report and literature review","volume":"121","author":"Busch CM","year":"2019","unstructured":"Busch CM, Prickett JT, Stein R, Cuoco JA, Marvin EA, Witcher MR. Meckel cave epidermoid cyst presenting as multiple cranial nerve deficits due to indirect tumoral compression of the cavernous sinus: a case report and literature review. 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Radiology. 2006;239(3):650\u2013664."},{"issue":"6","key":"b3","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"e113","article-title":"Epidermoid cyst of the temporal region","volume":"112","author":"Boffano P","year":"2011","unstructured":"Boffano P, Roccia F, Campisi P, Zavattero E, Gallesio C, Bosco GF. Epidermoid cyst of the temporal region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):e113\u2013e116."},{"issue":"2","key":"b4","series-title":"Neurosurg Rev","first-page":"259","article-title":"Cerebellopontine angle epidermoid cysts: clinical presentations and surgical outcome","volume":"39","author":"Hasegawa M","year":"2016","unstructured":"Hasegawa M, Nouri M, Nagahisa S,  Cerebellopontine angle epidermoid cysts: clinical presentations and surgical outcome. Neurosurg Rev. 2016;39(2):259\u2013267."},{"key":"b5","unstructured":"Epidermoid and Dermoid Cysts. Accessed May 25, 2023. https:\/\/www.neurosurgicalatlas.com\/volumes\/cranial-base-surgery\/other-skull-base-tumors\/epidermoid-and-dermoid-cysts."},{"key":"b6","series-title":"World Neurosurg","first-page":"88","article-title":"Meckel cave epidermoid cyst presenting as multiple cranial nerve deficits due to indirect tumoral compression of the cavernous sinus: a case report and literature review","volume":"121","author":"Busch CM","year":"2019","unstructured":"Busch CM, Prickett JT, Stein R, Cuoco JA, Marvin EA, Witcher MR. Meckel cave epidermoid cyst presenting as multiple cranial nerve deficits due to indirect tumoral compression of the cavernous sinus: a case report and literature review. 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