Cerebellopontine angle lipoma with extracranial extension.
Lipomas of the cerebellopontine angle (CPA) are rare. A recent literature review identified only 98 reported cases of CPA lipoma. We present here a case of CPA lipoma in a 28-year-old woman who was admitted to our hospital with hearing loss in her left ear. Computed tomography scan and magnetic resonance imaging revealed a CPA mass lesion with extracranial extension around the left internal carotiol artery. The patient was operated on in the sitting position via a right suboccipital craniectomy. The intracranial part of the mass was partially removed. Histopathological examination resulted in a diagnosis of lipoma. Surgical treatment of CPA lipomas is rarely indicated, and the aim of surgery must be decompression of neural structures.
Iplikcioglu
Celal
C
Neurosurgery Clinic, Social Security Okmeydani Teaching Hospital, Istanbul, Turkey.
Bikmaz
Kerem
K
Gokduman
Cem A
CA
Bek
Sirzat
S
D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000473:pathology / Q000503:physiopathology; D002530:Cerebellopontine Angle / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003056:Cochlear Nerve / Q000473:pathology / Q000503:physiopathology; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020209:Cranial Nerve Injuries / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D019299:Decompression, Surgical / Q000592:standards; D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D008578:Meninges / Q000473:pathology / Q000503:physiopathology; D019635:Neurosurgical Procedures / Q000592:standards; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D019292:Skull Base Neoplasms / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome