A symptomatic Sylvian fissure lipoma in a post-traumatic patient

Authors

  • Naushad Ali Basheer Ahamed
  • Rakan Bokhari
  • Mohammad Hasan Bangash
  • Jameel Addas

DOI:

https://doi.org/10.3941/jrcr.v8i4.1174

Keywords:

Lipoma, Sylvian fissure, Seizures, Epilepsy, Extra-axial lesion

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.

Author Biographies

Naushad Ali Basheer Ahamed

Specialist Radiologist

Department of Radiology

King Abdul Aziz University hospital, Jeddah, Kingdom of Saudi Arabia.

 

 

Rakan Bokhari

Resident.

Division of Neurosurgery,

Department of Surgery

King Abdul Aziz University hospital, Jeddah, Kingdom of Saudi Arabia.

 

Mohammad Hasan Bangash

Consultant

Division of Neurosurgery,

Department of Surgery

King Abdul Aziz University hospital, Jeddah, Kingdom of Saudi Arabia.

 

 

Jameel Addas

House Officer

Division of Neurosurgery,

Department of Surgery

King Abdul Aziz University hospital, Jeddah, Kingdom of Saudi Arabia.

 

Published

2014-04-26

Issue

Section

Neuroradiology