2005
DOI: 10.1007/s00247-005-1501-z
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Interhemispheric lipoma connected to subcutaneous lipoma via lipomatous stalk

Abstract: Lipomas are rare intracranial lesions and are generally thought to be asymptomatic. The vast majority of intracranial lipomas are viewed as incidental findings on imaging studies and treated conservatively. Intracranial lipomas are frequently accompanied by additional intracranial congenital malformations, but only rarely has an association with subcutaneous lipomas been described. We report an infant with a subgaleal lipoma in the region of the anterior fontanelle connected to a large interhemispheric (perica… Show more

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Cited by 16 publications
(17 citation statements)
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“…Because of this rostral location, it is thought that tubulonodular lipomas are formed at an earlier time point in development of the corpus callosum (Raybaud 2010). They vary in size, but can extend into the interhemispheric fissure and exit through the cranial sutures, presenting itself as an extracranial mass (Nordin et al, 1955; Zee et al, 1981; Kudoh et al, 1984; Nevin et al, 1999; Given et al, 2005). Tubulonodular lipomas are likely brought about by the delay or failure in resorption of the meninx primitiva along the dorsal midline of the developing telencephalon near the primitive lamina terminalis (Truwit and Barkovich 1990), but the exact cause is unknown.…”
Section: Introductionmentioning
confidence: 99%
“…Because of this rostral location, it is thought that tubulonodular lipomas are formed at an earlier time point in development of the corpus callosum (Raybaud 2010). They vary in size, but can extend into the interhemispheric fissure and exit through the cranial sutures, presenting itself as an extracranial mass (Nordin et al, 1955; Zee et al, 1981; Kudoh et al, 1984; Nevin et al, 1999; Given et al, 2005). Tubulonodular lipomas are likely brought about by the delay or failure in resorption of the meninx primitiva along the dorsal midline of the developing telencephalon near the primitive lamina terminalis (Truwit and Barkovich 1990), but the exact cause is unknown.…”
Section: Introductionmentioning
confidence: 99%
“…A previous case of cerebellopontine angle lipoma extending to the extracranial space involved a defect in the petrous ridge, 7) and a lipomatous stalk was identified between an interhemispheric lipoma and subcutaneous tissue in a 9-week-old boy. 5) In our case, a lipomatous stalk connected the intra-and extracranial parts of the tumor via a bone defect in the midline parietal region. The intracranial lipoma and epidermoid adhered to each other, and most of the intracranial component was epidermoidal.…”
Section: Discussionmentioning
confidence: 65%
“…Intra-and extracranial components are likely to connect via a bone defect, usually at the midline of the cranial bone. 1,2,5,13) Intracranial lipoma is a rare lesion that accounts for 0.46-1% of intracranial tumors. 16) Only four cases of interhemispheric lipoma connected to subcutaneous lipoma via a bone defect in the anterior fontanel 2,5,13) and midline parietal bone 1) have been reported in infants.…”
Section: Discussionmentioning
confidence: 99%
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“…Different communication patterns can be observed between intracranial and extracranial components of the lipoma. They may have no connection, 6 may connect to each other by fibrous-lipomatous stalk, 7,8 or may have direct continuity with each other through cranium bifidum. 9 There is difficulty in the explanation of extracranial extension of the intracranial lipoma via cranium bifidum.…”
Section: Discussionmentioning
confidence: 99%