Symptoms of right hemisphere dysfunction had developed over a 10-month
period in a 69-year old woman. She had experienced transient episodes
of facial asymmetry for 10 years. CT scan showed a hypodense hourglas
s tumor extending above and below the tentorium. MRI showed a low-inte
nsity signal with T1-weighted sequences and a high-intensity signal wi
th T2-weighted sequences. The tumour was removed. Pathological examina
tion proved the rumor to be an epidermoid cyst. Such a rumor may hare
been responsible for transient deficits in the late stages of developm
ent.