J Korean Neurosurg Soc.  2010 Feb;47(2):148-150. 10.3340/jkns.2010.47.2.148.

Interhemispheric Osteolipoma with Agenesis of the Corpus Callosum

Affiliations
  • 1Department of Neurosurgery, Chung-Ang University College of Medicine, Seoul, Korea. mdyjw@hanmail.net
  • 2Department of Pathology, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

Osteolipoma is an ossified lipoma with distinct components of fat and bone. We present a case of interhemispheric osteolipoma associated with total agenesis of the corpus callosum. A 20-year-old man complained of severe headache, nausea and vomiting. Brain computed tomography showed a low-density mass in an interhemispheric fissure, with high T1 and T2 magnetic resonance signals compatible with fat. The mass measured 4.9 x 2.9 cm in size and showed peripheral calcifications. There was another small piece of same signal mass within the lateral ventricular choroid plexus. The interhemispheric lesion was removed by an interhemispheric approach. Osteolipoma is rare in interhemispheric region, however, it should be a differential diagnosis of lesions with fat intensity mass and calcifications.

Keyword

Agenesis; Corpus callosum; Intracranial; Lipoma; Osteolipoma

MeSH Terms

Brain
Choroid Plexus
Corpus Callosum
Diagnosis, Differential
Headache
Humans
Lipoma
Magnetic Resonance Spectroscopy
Nausea
Vomiting
Young Adult
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