Intracranial lipomas

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Intracranial lipomas. They appear as hypodense. They are sharply demarcated. They are non-enhancing. Fully referenced neurology checklist.

Cranial tomography (CT) features

  • They appear as hypodense
  • They are sharply demarcated
  • They are non-enhancing
  • They evoke relatively little mass effect
  • The capsule is often calcified
  • They may incorporate cranial nerves which may show as high density

Magnetic resonance imaging (MRI) features

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Location of intracranial lipomas

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Associations of intracranial lipomas

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Associations of midline intracranial lipomas

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Differential diagnoses

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References

  1. Schuhmann MU, Lüdemann WO, Schreiber H, Samii M. Cerebellopontine angle lipoma: a rare differential diagnosis. Skull Base Surg 1997; 7:199-205.
  2. Yildiz H, Hakyemez B, Koroglu M, Yesildag A, Baykal B. Intracranial lipomas: importance of localization. Neuroradiology 2006; 48:1-7.
  3. 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; 256:851-855.
  4. Donati F, Vassella F, Kaiser G, Blumberg A: Intracranial lipomas. Neuropediatrics 1992; 23:32-38.
  5. Fagundes-Pereyra WJ, Marques JA, Carvalho GT, Sousa AA. Lipoma of the cerebellopontine angle: case report. Arq Neuropsiquiatr 2000; 58:952-957.

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