Case Report
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Radio-anatomical aspects of a rare case: interpeduncular lipoma

Year 2021, Volume: 15 Issue: 3 , 255 - 259 , 31.12.2021
https://izlik.org/JA95FW74ML

Abstract

Intracranial lipomas can be associated with other congenital abnormalities, but they are commonly found incidentally on imaging studies. Although the location of intracranial lipomas can be quite variable, they are extremely rare in interpeduncular fossa. We report a case of interpeduncular lipoma with its radio-anatomical features in terms of distinction with pathologies that can appear similarly, as the unexpected location of rare cases can be challenging for radiologists. The MR images of a 55-year-old male patient suffering from episodic dizziness attacks and impaired walking showed two different lipoma masses in interpeduncular fossa and chiasmatic cistern which are isointense with adipose tissue in T1, T2-weighted and FLAIR sequences. Intracranial lipomas can be located in the corpus callosum and almost in all cisterns, however they are extremely rare in interpeduncular fossa. Due to the mass effect, the structures located in close proximity of the lipomas should be evaluated.

References

  • Kulhari A, Manjila S, Singh G, Kumar K, Tarr RW, Bambakidis N. Auditory hallucinosis as a presenting feature of interpeduncular lipoma with proximal p1 segment fenestration: report of a rare case and review of literature on peduncular hallucinosis. J Vasc Interv Neurol 2016;9:7–11.
  • James LE, Roberts SAG, Beltechi R, Hussain R. Complete third nerve palsy as a presenting feature of an interpeduncular lipoma. Br J Neurosurg 2020;35:32–4.
  • Eghwrudjakpor PO, Kurisaka M, Fukuoka M, Mori K. Intracranial lipomas: current perspectives in their diagnosis and treatment. Br J Neurosurg 1992;6:139–44.
  • Taydas O, Ogul H, Kantarci M. The clinical and radiological features of cisternal and pericallosal lipomas. Acta Neurol Belg 2020; 120:65–70.
  • Venkatesh SK, Phadke R V, Kumar S, Mishra UK. MR appearance of interpeduncular lipoma. Singapore Med J 2003;44:39–41.
  • Truwit CL, Barkovich AJ. Pathogenesis of intracranial lipoma: an MR study in 42 patients. AJR Am J Roentgenol 1990;155:855–64.
  • Friedman RB, Segal R, Latchaw RE. Computerized tomographic and magnetic resonance imaging of intracranial lipoma. Case report. J Neurosurg 1986;65:407–10.
  • Jabot G, Stoquart-Elsankari S, Saliou G, Toussaint P, Deramond H, Lehmann P. Intracranial lipomas: clinical appearances on neuroimaging and clinical significance. J Neurol 2009;256:851–5.
  • Zarour CC, Yaldoo B, Kendra J. Sphenoclival intraosseous lipoma. Applied Radiology 2020;49:39–40.
  • Mishra SS, Panigrahi S, Dhir MK, Pattajoshi AS. Intrinsic brainstem white epidermoid cyst: an unusual case report. J Pediatr Neurosci 2014;9:52–4.
  • Özsunar Y, Şenol U. Atlas of clinical cases on brain tumor imaging. Cham: Springer International Publishing; 2020.

Year 2021, Volume: 15 Issue: 3 , 255 - 259 , 31.12.2021
https://izlik.org/JA95FW74ML

Abstract

References

  • Kulhari A, Manjila S, Singh G, Kumar K, Tarr RW, Bambakidis N. Auditory hallucinosis as a presenting feature of interpeduncular lipoma with proximal p1 segment fenestration: report of a rare case and review of literature on peduncular hallucinosis. J Vasc Interv Neurol 2016;9:7–11.
  • James LE, Roberts SAG, Beltechi R, Hussain R. Complete third nerve palsy as a presenting feature of an interpeduncular lipoma. Br J Neurosurg 2020;35:32–4.
  • Eghwrudjakpor PO, Kurisaka M, Fukuoka M, Mori K. Intracranial lipomas: current perspectives in their diagnosis and treatment. Br J Neurosurg 1992;6:139–44.
  • Taydas O, Ogul H, Kantarci M. The clinical and radiological features of cisternal and pericallosal lipomas. Acta Neurol Belg 2020; 120:65–70.
  • Venkatesh SK, Phadke R V, Kumar S, Mishra UK. MR appearance of interpeduncular lipoma. Singapore Med J 2003;44:39–41.
  • Truwit CL, Barkovich AJ. Pathogenesis of intracranial lipoma: an MR study in 42 patients. AJR Am J Roentgenol 1990;155:855–64.
  • Friedman RB, Segal R, Latchaw RE. Computerized tomographic and magnetic resonance imaging of intracranial lipoma. Case report. J Neurosurg 1986;65:407–10.
  • Jabot G, Stoquart-Elsankari S, Saliou G, Toussaint P, Deramond H, Lehmann P. Intracranial lipomas: clinical appearances on neuroimaging and clinical significance. J Neurol 2009;256:851–5.
  • Zarour CC, Yaldoo B, Kendra J. Sphenoclival intraosseous lipoma. Applied Radiology 2020;49:39–40.
  • Mishra SS, Panigrahi S, Dhir MK, Pattajoshi AS. Intrinsic brainstem white epidermoid cyst: an unusual case report. J Pediatr Neurosci 2014;9:52–4.
  • Özsunar Y, Şenol U. Atlas of clinical cases on brain tumor imaging. Cham: Springer International Publishing; 2020.
There are 11 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Fatih Çankal 0000-0003-1066-353X

Mehmet Ali Güner This is me 0000-0002-9782-8044

Publication Date December 31, 2021
IZ https://izlik.org/JA95FW74ML
Published in Issue Year 2021 Volume: 15 Issue: 3

Cite

APA Çankal, F., & Güner, M. A. (2021). Radio-anatomical aspects of a rare case: interpeduncular lipoma. Anatomy, 15(3), 255-259. https://izlik.org/JA95FW74ML
AMA 1.Çankal F, Güner MA. Radio-anatomical aspects of a rare case: interpeduncular lipoma. Anatomy. 2021;15(3):255-259. https://izlik.org/JA95FW74ML
Chicago Çankal, Fatih, and Mehmet Ali Güner. 2021. “Radio-Anatomical Aspects of a Rare Case: Interpeduncular Lipoma”. Anatomy 15 (3): 255-59. https://izlik.org/JA95FW74ML.
EndNote Çankal F, Güner MA (December 1, 2021) Radio-anatomical aspects of a rare case: interpeduncular lipoma. Anatomy 15 3 255–259.
IEEE [1]F. Çankal and M. A. Güner, “Radio-anatomical aspects of a rare case: interpeduncular lipoma”, Anatomy, vol. 15, no. 3, pp. 255–259, Dec. 2021, [Online]. Available: https://izlik.org/JA95FW74ML
ISNAD Çankal, Fatih - Güner, Mehmet Ali. “Radio-Anatomical Aspects of a Rare Case: Interpeduncular Lipoma”. Anatomy 15/3 (December 1, 2021): 255-259. https://izlik.org/JA95FW74ML.
JAMA 1.Çankal F, Güner MA. Radio-anatomical aspects of a rare case: interpeduncular lipoma. Anatomy. 2021;15:255–259.
MLA Çankal, Fatih, and Mehmet Ali Güner. “Radio-Anatomical Aspects of a Rare Case: Interpeduncular Lipoma”. Anatomy, vol. 15, no. 3, Dec. 2021, pp. 255-9, https://izlik.org/JA95FW74ML.
Vancouver 1.Fatih Çankal, Mehmet Ali Güner. Radio-anatomical aspects of a rare case: interpeduncular lipoma. Anatomy [Internet]. 2021 Dec. 1;15(3):255-9. Available from: https://izlik.org/JA95FW74ML

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).