Quadrigeminal cistern lipoma.
Intracranial lipomas are rare benign congenital neoplasms accounting for 0.1 to 0.5% of all primary brain tumours. Approximately 50% are associated with other cerebral developmental disorders. These slow growing benign lesions are usually asymptomatic and rarely require surgery. We report the case of a 37 year old woman presented with signs of raised intracranial pressure. Computerized tomography and magnetic resonance imaging demonstrated a quadrigeminal cistern lipoma compressing the aqueduct of Sylvius. The patient underwent surgery and a distinct plane of cleavage between the lipoma and the adjacent neural structures was found, allowing total removal of the lesion. Postoperatively, the patient was relieved of her original symptoms but developed akinetic mutism which lasted for two weeks. Intracranial lipomas rarely become symptomatic and surgery is seldom required. If the lesion progresses and causes symptoms of raised intracranial pressure or compression of neural structures, surgical intervention is indicated. Total removal should not be attempted unless a plain of cleavage between the lesion and adjacent neural structures is present. Surgical manipulation should be minimised to avoid complications.
Yilmazlar
Selcuk
S
Department of Neurosurgery, School of Medicine, Uludag University, Bursa, Turkey. selsus@uludag.edu.tr
Kocaeli
Hasan
H
Aksoy
Kaya
K
D000328:Adult; D000405:Akinetic Mutism / Q000209:etiology / Q000503:physiopathology; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000503:physiopathology; D002531:Cerebellum / Q000000981:diagnostic imaging / Q000473:pathology; D003337:Corpus Callosum / Q000000981:diagnostic imaging / Q000473:pathology; D019299:Decompression, Surgical; D004724:Endoscopy; D005260:Female; D006261:Headache / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000503:physiopathology; D008067:Lipoma / Q000175:diagnosis* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures; D013346:Subarachnoid Space / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D003336:Tectum Mesencephali / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology / Q000503:physiopathology