Pericallosal lipoma

Case contributed by Dr Kenny Sim

Presentation

Four weeks of headache.

Patient Data

Age: 26
Gender: Female
Modality: CT

CT brain (non-contrast)

Findings:

There is a thin fat density structure that lies superior to the corpus callosum, and extends from the anterior aspect of the body of the corpus callosum posteriorly, wrapping around the splenium of the corpus callosum, and then passing anteriorly into the cistern of the velum interpositum. No obvious corpus callosum dysgenesis identified on CT. There are also two small fat density components within the bodies of the lateral ventricles bilaterally, larger on the left.

No acute intracranial haemorrhage. No hydrocephalus. Cortical volume is age-appropriate. The basal cisterns are unremarkable.

The imaged paranasal sinuses and mastoid air cells are clear. No suspicious osseous lesion.

Conclusion:

No acute intracranial haemorrhage.

Incidental pericallosal lipoma ( curvilinear subtype ) with extension into the lateral ventricles.

Case Discussion

Intracranial lipomas are congenital lesions, most commonly found in a pericallosal distribution. Pericallosal lipomas are divided into tubulonodular and curvilinear subtypes, and can be associated with corpus callosum dysgenesis. Extension into the choroid plexus and lateral ventricles can occur. Other sites for intracranial lipomas include the quadrigeminal plate cistern, suprasellar cistern and cerebellopontine angle.

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Case Information

rID: 35768
Case created: 22nd Apr 2015
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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