Intracranial angiolipoma as cause of subarachnoid haemorrhage. Case report and review of the literature.
A 33-year-old female with a longstanding history of seizures was admitted to our hospital with subarachnoid haemorrhage (SAH). Computed tomography (CT), magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) depicted a vascular fat-containing lesion overlying a right frontal cortical polymicrogyria. The diagnosis of angiolipoma was established. Conservatory management was undertaken with full recovery. She has been followed for 5 years since, with neither re-bleeding nor morphologic change of the lesion. This is a rare intracranial lesion, with only 11 intracranial angiolipomas published in the literature, and is the first case reported which is associated with SAH caused by this lesion.
Vilela
P
P
Serviço de Neurorradiologia, Hospital Garcia de Orta, Av. Prof. Torrado Silva. Pragal, 2801-591, Almada, Portugal. ferrovilela@hotmail.com
Saraiva
P
P
Goulão
A
A
D000328:Adult; D018206:Angiolipoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000209:etiology*