The authors report an unusual case of an intracranial, interdural epidermoi
d tumor and cyst in a 72-year-old woman who presented with longstanding, mi
ld numbness over her right cheek. She was initially treated conservatively,
but on follow-up review the mass was found to have grown and evidence of h
emorrhage was present, and therefore a subtotal resection was performed. Th
is case should probably be classified as a paratrigeminal, interdural epide
rmoid cyst; this is the first known report in which magnetic resonance and
computerized tomography images of such an entity are presented and discusse
d.