Abstract

  Lipomas of the corpus callosum are very rare, congenital, malformative intracranial lesions, representing less than 0.1% of intracranial tumors. We report the case of an 11-year-old child, with no particular pathological history, presenting with chronic headaches and generalized tonic-clonic epileptic seizures. The neurological examination was without particularity. An inter-ictal electro-encephalogram was performed and was normal. Cerebral magnetic resonance imaging performed showed an extra-axial interhemispheric lesion in T1, T2 and T2 flair; fading in hyposignal on T1 Fat Sat and which did not take contrast material after Gadolinium injection. This lesion was well limited and measured 54 x 33 mm along the major axes and was associated with partial agenesis of the corpus callosum. The child was placed under WHO stage 2 analgesic and anti-epileptic drug soduim valproate. The evolution was marked by a decrease in the frequency of epileptic seizures. Lipoma may be associated with calcifications and / or dysgenesis of the corpus callosum. It can be strongly adherent to vascular structures, surrounding parenchyma and sometimes nerves. Hence the interest of medical treatment because its mortality and morbidity are high after surgery.

Keywords: Lipoma; Child; Intracranial Tumor; Corpus Callosum

References

1. Taglialatela G., et al. “Lipomas of corpus callosum”. Neuroanatomy 8 (2009): 39-42.
2. Bouchra Zhari., et al. “Lipome du corps calleux: à propos d’un cas avec revue de littérature”. Pan African Medical Journal 21 (2015): 245.
3. Mark S Grenberg. “Handbook of neurosurgery”. 8th ed. New York: Thieme Medical Publishers, Inc; (2016).
4. Alam A., et al. “Lipoma of the corpus callosum: diagnosis using magnetic resonance imaging”. Medical Journal Armed Forces India 62 (2006): 299-300. 
5. Piovesan EJ., et al. “Lipoma do corpo calloso associado a ipertrofia do corpo calloso”. Arquivos de Neuro-Psiquiatria 58 (2000): 947-951.
6. Anne G Osborn. “Osborn’s brain”. 2^nd edition Elsevier (2017).
7. Matthias Kieslich., et al. “Midline Developmental anomalies with lipomas in the corpus callosum Region”. Journal of Child Neurology 15.2 (2000).
8. Harun Yildiz., et al. “Intracranial lipomas: importance of localization”. Neuroradiology 48 (2006): 1-7.
9. Prakash Narain Tandon., et al. “Ramamurthi and Tandon’s Manual of Neurosurgery”. 1^st edition. V1 and 2. Jaypee Brothers Medical Publishers (2014).
10. Collège de neurochirurgie. “Neurochirurgie”. Elsevier Masson (2016).
11. F Des Mots., et al. “Lipome du corps calleux”. Feuillets de Radiologie 52.1 (2012): 48-49. 
12. Dietemann JL. “Neuro-imagerie diagnostique”. Elsevier Masson (2009): 302-303.
13. Kieslich M., et al. “Midline developmental anomalies with lipomas in the corpus callosum region”. Journal of Child Neurology 15 (2000): 85-89.
14. Nebi Yilmaz., et al. “Intracranial lipomas-a clinical study”. Clinical Neurology and Neurosurgery 108 (2006): 363-368.

Citation

Citation: Fah Bouaré., et al. “Epileptic Seizures Revealing a Lipoma of the Corpus Callosum: Review of the Literature". Acta Scientific Medical Sciences 4.4 (2020): 60-63.

Copyright

Copyright: © 2020 Fah Bouaré., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.