Intracranial lipoma of the sylvian fissure: Case report and review of the literature

R. P. Feldman, A. Marcovici, Patrick A. LaSala

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The authors present a rare case of lipoma of the sylvian fissure found in a 34-year-old man who presented with seizures. The patient underwent craniotomy and an attempted resection of the lesion, which was initially believed to be a dermoid tumor. The imaging characteristics of dermoids and lipomas are extremely similar. Given the difference in the natural history and resectability of these lesions, lipomas should be included in the differential diagnosis of lesions with imaging characteristics similar to dermoids. Currently, tumor location, density of the lesion or computerized tomography scans, and signal homogeneity of the lesion on magnetic resonance images can help one to distinguish these radiographically similar, but pathologically different, entities. As this case confirms, resection of a sylvian fissure lipoma is extremely difficult and potentially dangerous; in addition it is unlikely to improve symptoms. A short review of 10 cases reported in the literature and therapeutic options for these lesions are also discussed.

Original languageEnglish (US)
Pages (from-to)515-519
Number of pages5
JournalJournal of Neurosurgery
Volume94
Issue number3
StatePublished - 2001

Fingerprint

Lipoma
Dermoid Cyst
Craniotomy
Natural History
Neoplasms
Seizures
Differential Diagnosis
Magnetic Resonance Spectroscopy
Tomography
Therapeutics

Keywords

  • Brain
  • Dermoid tumor
  • Insula
  • Lipoma
  • Sylvian fissure

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Intracranial lipoma of the sylvian fissure : Case report and review of the literature. / Feldman, R. P.; Marcovici, A.; LaSala, Patrick A.

In: Journal of Neurosurgery, Vol. 94, No. 3, 2001, p. 515-519.

Research output: Contribution to journalArticle

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