CT and MRI in the diagnostic and therapeutic management of intracranial lipomas

Yıl 2012, Cilt: 1 Sayı: 1, 35 - 36, 01.01.2012

Fahri Halit Beşir Fuat Özkan

https://doi.org/10.5505/abantmedj.2012.54254

Öz

Intracranial lipomas are rare and usually asymptomatic. However, they may be symptomatic according to their localization. In this article, we aimed to report a case who presented with headache and diagnosed with intracranial lipoma which was detected at computed tomography CT and confirmed by magnetic resonance imaging MRI . Intracranial lipomas which are difficult treat by surgery should be diagnosed easily with CT densitometry and MRI without invasive procedure. Also, CT and MRI may be helpful in determining treatment choice and following up the lesion.

Anahtar Kelimeler

Intracranial lipoma, computed tomography CT, magnetic resonance imaging MRI

İntrakraniyal lipomun tanı ve tedavi yönetiminde BT ve MRG

Öz

İntrakranial lipomlar nadir görülür ve genellikle asemptomatiktir. Bununla beraber lokalizasyonuna göre klinik belirti verebilirler. Bu yazıda baş ağrısı şikayeti ile başvuran ve bilgisayarlı tomografide BT tespit edilerek manyetik rezonans görüntüleme MRG ile tanısı teyit edilen intrakraniyal lipom vakasını sunmayı amaçladık. BT dansitometrik değerlendirme ve MRG inceleme ile invaziv bir işlem uygulanmadan cerrahi tedavisi zor olan intrakranial lipomların tanısı kolaylıkla konulabilir. BT ve MRG tedavinin belirlenmesi ile lezyonun takibinde de kolaylık sağlamaktadır.

Anahtar Kelimeler

İntrakranial lipom, bilgisayarlı tomografi BT, manyetik rezonans görüntüleme MRG

Kaynakça

• Bourekas EC, Varakis K, Bruns D, et al. Lesions of the Corpus Callosum: MR Imaging and Differential Considerations in Adults and Children. AJR 2002; 179: 251–257
• Rahalkar AM, Rahalkar MD. Case report: 2 cases of lipoma of corpus callosum (LoCC) associated with lipoma of choroid plexus (LoCP). Indian journal of radiology 2006; 4: 719-721
• Ahmetoglu A, Kul S, Kuzeyli K, Ozturk MH, Sarı A. Intracranial and Subcutaneous Lipoma Associated with Sagittal Sinus Fe- nestration and Falcine Sinus. Am J Neuroradiol 2007; 28: 1034–1035
• Yıldız S, Yıldız A, Çetinkol E, Kaya A. İntrakranyal lipomların ender rastlanan yerleşimleri ve MRG özellikleri. Tanısal ve Giri- şimsel Radyoloji 2001; 7: 328-332
• Grosmann RI, Yousem DM. Lipomas “Neuroradiology, The Requisities” 2nd edition. USA: Mosby, Elseiver Inc. 2003; 117- 118
• Tankere F, Vitte E, Dunverneuil NM, Soudant J. Angle Lipomas: Report of four cases and review of the literature. Cerebel- lopontine Neurosurgery 2002; 50: 626-632
• Zimmermann M, Kellerman S, Gerlach R, Seifert V. Cerebel- lopontine angle lipoma: Case repeort and rewiew of the litera- ture. Acta Neurochir (Wien) 1999; 141: 1347-1351
• Saatci I, Aslan C, Renda Y, Besim A. Parietal Lipoma Associated with Cortical Dysplasia and Abnormal Vasculature: Case Re- port and Review of the Literature. Am J Neuroradiol 2000; 21: 1718–1721
• Zamora AR, Asconape J. Intracranial Lipomas; Radiographic and Clinical Characteristics. The Internet Journal of Neurology. 2009; 12: Page number 3 ISSN: 1531-295X
• Gökduman CA, İplikçioğlu C, Çoşar M, Ceylan D, Arslan M, Başocak K. İntrakranyal Yerleşimli Lipomlar. Türk Nöroşirurji Dergisi 2004; 3: 172-177
• Bayraklı F, Peker S. Sylvian Fissure Lipoma: Case Report. Sinir Sistemi Cerrahisi Derg 2009; 3: 164-167