Interhemispheric lipoma masquerading as pneumocranium in a patient with head injury.
Head injury is very commonly seen in the emergency department (ED) worldwide, and almost, an unenhanced computed tomography scan of the brain suffices for patients seen in the ED presenting after trauma or with a new neurologic deficit. Intracranial lipomas are usually asymptomatic, and they are often an occasional finding. In head injury cases, lipomas are easily to be misdiagnosed as pneumocranium on brain computed tomography with low-density attenuation image. We presented an extremely rare case of interhemispheric lipoma presenting to an ED as a lesion of acute brain insult. The aim of this report is to emphasize the importance of clinical thinking in the differential diagnosis of markedly hypodense lesion on computed tomography imaging of a patient with head injury.
Lin
Yee-Fung
YF
Division of Neurological Surgery, Department of Surgery, Armed Forces Tao-Yuan General Hospital, Taoyuan County 32551, Taiwan, Republic of China.
Hsi
Sheng-Chuan
SC
Chen
Yue-Quen
YQ
Long
Wei-Zen
WZ
D001932:Brain Neoplasms / Q000151:congenital / Q000000981:diagnostic imaging* / Q000473:pathology; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008067:Lipoma / Q000151:congenital / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed