RT Journal Article SR Electronic T1 Posterior fossa ruptured dermoid cyst presenting with hydrocephalus JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 358 OP 360 DO 10.17712/nsj.2016.4.20160280 VO 21 IS 4 A1 Abrar A. Wani A1 Uday S. Raswan A1 Nayil K. Malik A1 Altaf U. Ramzan YR 2016 UL http://nsj.org.sa/content/21/4/358.abstract AB Dermoid cysts are rare, benign lesions of embryological origin that represent 0.1-0.7% of all intracranial tumors. They are mainly located in the supra tentorial space, especially in the parasellar region. Their location in the posterior fossa remains uncommon. Rupture of intracranial dermoid cysts is a rare phenomenon. We present a case of dermoid cyst, which had ruptured into ventricular system. Computed Tomography and MRI revealed fat in the fourth ventricle, prepontine cistern, and cerebellomedullary cistern. Hydrocephalus was noted. We performed right ventriculo-peritoneal shunt on which patient improved and he continues to remain asymptomatic one year after.