<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212021000300142</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quiste epidermoide intraventricular. Presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Intraventricular epidermoid cyst. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Téllez Isla]]></surname>
<given-names><![CDATA[Rogers]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mosquera Betancourt]]></surname>
<given-names><![CDATA[Gretel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Betharte Sotomayor]]></surname>
<given-names><![CDATA[Yanmara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Acevedo]]></surname>
<given-names><![CDATA[Annabel Noelene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Rodríguez]]></surname>
<given-names><![CDATA[María Antonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Manuel Ascunce Domenech  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>142</fpage>
<lpage>154</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212021000300142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212021000300142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212021000300142&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  El tumor epidermoide es una lesión benigna que representa cerca del 1 % de las neoplasias intracraneales, su origen es embrionario y son frecuentes en la línea media.  Objetivo:  Presentar un caso poco frecuente de un quiste epidermoide dentro del cuarto ventrículo, que debutó con hidrocefalia en un paciente de la quinta década de la vida.  Presentación clínica:  Paciente blanco, masculino, de 49 años que debutó con cefalea, vértigos e inestabilidad para la marcha. Al examen físico neurológico se encontraba consciente, con manifestaciones de un síndrome cerebeloso vermiano. Los estudios de tomografía axial computarizada y de resonancia magnética nuclear simple y contrastada demostraron una lesión homogénea, redondeada con poca captación de contraste, dentro del cuarto ventrículo acompañada de una hidrocefalia triventricular. La estrategia quirúrgica se orientó primero a colocar una derivación ventrículo peritoneal y en un segundo momento se realizó el tratamiento quirúrgico directo a la lesión a través de una craniectomía medial de fosa posterior. Después de la durotomía se observó la lesión nacarada, de aproximadamente 2 cm de diámetro, encapsulada que permitió su resección completa y el restablecimiento de la circulación del líquido cefalorraquídeo. El paciente evolucionó favorablemente con recuperación total de sus manifestaciones clínicas y sin secuelas.  Conclusiones:  Los quistes epidermoides, aunque predominan en la línea media son muy raros dentro del sistema ventricular. La resonancia magnética es el estudio de elección, el diagnóstico positivo es histopatológico y la resección quirúrgica completa permitieron la curación del enfermo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Epidermoid cyst is a benign lesion that represents about 1 % of intracranial neoplasms, of embryonal origin and frequent in the media line.  Objective:  To present a rare case of an epidermoid cyst within the fourth ventricle in a patient who had hydrocephalus in the fifth decade of life.  Clinical report:  49 years old, white male patient, who presented headache, dizziness and gait instability. He was conscious when neurologic physical examination, with appearances of a cerebellar vermis syndrome. Computed axial tomography also simple and contrasted nuclear magnetic resonance imaging studies showed a homogeneous, rounded lesion with low contrast acquisition, within the fourth ventricle, accompanied by triventricular hydrocephalus. The surgical strategy was first oriented to place a ventricle-peritoneal shunt, then direct surgical treatment of the lesion through a posterior fossa medial craniotomy. After dural surgery, a pearly lesion was observed, approximately 2 cm diameter, encapsulated, which allowed its complete resection and the reestablishment of cerebrospinal fluid circulation. The patient evolved positively with total recovery of his clinical manifestations and without any sequela.  Conclusions:  Epidermoid cysts, although predominant in the media line are very rare within the ventricular system. Magnetic resonance imaging is the choice study, the positive histopathological diagnosis and complete surgical resection allowed the patient to be cured.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quiste epidermoide]]></kwd>
<kwd lng="es"><![CDATA[QUISTE EPIDÉRMICO]]></kwd>
<kwd lng="es"><![CDATA[cuarto ventrículo y cirugía]]></kwd>
<kwd lng="es"><![CDATA[hidrocefalia]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico por imagen]]></kwd>
<kwd lng="es"><![CDATA[espectroscopía de resonancia magnética]]></kwd>
<kwd lng="en"><![CDATA[Epidermoid cyst]]></kwd>
<kwd lng="en"><![CDATA[epidermal cyst]]></kwd>
<kwd lng="en"><![CDATA[fourth ventricle and surgery]]></kwd>
<kwd lng="en"><![CDATA[hydrocephalus]]></kwd>
<kwd lng="en"><![CDATA[diagnostic imaging]]></kwd>
<kwd lng="en"><![CDATA[magnetic resonance spectroscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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