A case of posterior fossa dermoid

Intracranial dermoid cysts are uncommon lesions. A 35 years old female presented with complaints of swaying and falling towards the left side while walking. MRI brain revealed a posterior fossa space occupying lesion. Suboccipital craniectomy and total excision of the tumour was done. Bunch of hairs admixed with pultaceous material were found within the cyst. Histopathological examination revealed it to be a dermoid cyst. The clinical, radiological features and therapeutic strategy in the management of dermoid cysts are discussed.