title: A symptomatic Sylvian fissure lipoma in a post-traumatic patient.
abstract: Lipomatous extra-axial lesions in the Sylvian fissure are a rare entity. Their identification, however, is usually simple if a systematic radiological approach is adopted. The best line of management for these lesions is still a matter of controversy and fraught with complications. We present a case of a Sylvian fissure lipoma referred to our neurosurgery services with symptomatic seizures and in a post-traumatic patient. The radiological differentiating features of intracranial lipomas and intracranial dermoids have been discussed. The unusual location of the lesion, in combination with the history of seizures and the nature of presentation (trauma being a red-herring) make this case an interesting find. The lesion was managed conservatively with good outcomes at follow up, on anti-epileptic medications.
authors: King Abdul Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
authors: Rakan Farouk
authors: RF
authors: Bokhari
authors: King Abdul Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
authors: Mohammad Hasan
authors: MH
authors: Bangash
authors: King Abdul Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
authors: Naushad Ali Basheer
authors: NA
authors: Ahamed
authors: King Abdul Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
authors: Jameel
authors: J
authors: Addas
mesh_terms: D000058:Accidental Falls; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology*; D001932:Brain Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D003884:Dermoid Cyst / Q000175:diagnosis; D003937:Diagnosis, Differential; D004834:Epilepsy, Post-Traumatic / Q000209:etiology; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D012640:Seizures / Q000209:etiology; D014057:Tomography, X-Ray Computed
keywords: Epilepsy; Extra-axial lesion; Lipoma; Seizures; Sylvian fissure