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Ruptured intracranial dermoid cyst (RICDC) is rare and its clinical presentation varies widely from case to case. Principles of its management are derived from experience of managing small numbers of patients. It was considered fatal disease decades ago, but as understanding improves, in most cases, it was found to be a non-fatal pathology anymore. Our patient was a young female who had a short duration of worsening headache with no other alarming features because of RICDC that eventually caused her death. It is extremely rare for a RICDC to have such a rapid disease course and leading to a fatal outcome. Our case will increase the spectrum of presentation and complications of RICDC in the existing literature that may potentially affect the decision-making process for these patients.

Ruptured Intracranial Dermoid Cyst: Unusually Rapid Disease Course Leading to a Fatal Outcome