Intracranial epidermoid cysts are benign tumour congenital lesions of

ectodermal origin. Incidence rate approximately 1% of all intracranial tumors.

(Short, G John. 2020. Brain Epidermoid Cyst (Epidermoid Tumour) Imaging.
Available at : https://emedicine.medscape.com/article/340467-
overview#:~:text=Epidermoid%20cysts%20(also%20called
%20epidermoid,20%2D40%20years%20of%20age.). They are slow-growing,
although these lesions are congenital. Patients are usually not symptomatic
until 20-40 years of age. Intracranial epidermoid cyst are located in the
suprainfratentorial mainly in cerebellopontine angle (CPA, 40%) and
suprasellar cisterns (18%), less commonly located in sylvian fissure, cerebral
and cerebellar hemispheres, and lateral and fourth ventricles. (
Agung Budi Sutiono, R. S. E. S. P. M. T. K. Y., 2019. Characteristics intracranial epidermoid cyst between
two hospital from developed vs developing institution and literature review. Interdisciplinary
Neurosurgery, Volume 18(https://doi.org/10.1016/j.inat.2019.100500).

lesions

Although these lesions are congenital, patients are usually not symptomatic
until they are 20-40 years of age. The usual locations of epidermoid cysts are
the parasellar region and cerebellopontine angle, and it is less commonly
located in sylvian fissure, suprasellar region, cerebral and cerebellar
hemispheres, and lateral and fourth ventricles. Epidermoid cysts located in the
posterior fossa usually arise in the lateral subarachnoid cisterns, and they are
rarely located in the brain stem.