de Vries Mireille M, Oosterhof Nadine, Jarnalo Carine Martins, Dremmen Marjolein, de Beukelaar Janet, Katier Nienke
Department of Neurology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Department of Radiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Radiol Case Rep. 2025 Jun 26;20(9):4594-4598. doi: 10.1016/j.radcr.2025.05.110. eCollection 2025 Sep.
Sylvian fissure lipomas are rare congenital malformations, with few cases reported in the literature. We present the case of a 28-year-old woman who consulted a neurologist for headache during pregnancy. Brain magnetic resonance imaging (MRI) showed bilateral extra-axial perisylvian lesions as an incidental finding. The MRI characteristics led to the diagnosis of bilateral Sylvian fissure lipomas with angiomatous component. To our knowledge, no previous cases of bilateral Sylvian fissure lipomas have been reported. This article provides an overview of the literature on Sylvian fissure lipomas, including their prevalence, pathophysiology, differential diagnosis, and management, to aid in their timely recognition and appropriate evaluation.
大脑外侧裂脂肪瘤是罕见的先天性畸形，文献报道的病例较少。我们报告一例28岁女性，在孕期因头痛咨询神经科医生。脑部磁共振成像（MRI）偶然发现双侧轴外大脑外侧裂周围病变。MRI特征提示诊断为双侧大脑外侧裂脂肪瘤伴血管瘤成分。据我们所知，此前尚无双侧大脑外侧裂脂肪瘤的病例报道。本文概述了有关大脑外侧裂脂肪瘤的文献，包括其患病率、病理生理学、鉴别诊断和治疗，以帮助及时识别和进行适当评估。
