Britt P M, Bindal A K, Balko M G, Yeh H S
Department of Neurosurgery, University of Cincinnati College of Medicine, Ohio.
Acta Neurochir (Wien). 1993;121(1-2):88-92. doi: 10.1007/BF01405190.
The first clinically diagnosed and successfully operated case of a symptomatic lipoma involving the cerebral cortex is reported. The patient presented with severe headaches and recurring focal seizures with secondary generalization. Computer tomography scan and magnetic resonance imaging suggested a left frontoparietal lipoma. After undergoing a craniotomy and tumor excision, the patient has shown resolution of headaches and seizures at 1-year follow-up. Lipomas of the cerebral cortex should be excised if symptomatic and accessible.
报道了首例有症状的累及大脑皮层脂肪瘤的临床诊断及成功手术病例。该患者表现为严重头痛和反复出现的局灶性癫痫发作继发全面性发作。计算机断层扫描和磁共振成像提示左额顶叶脂肪瘤。在接受开颅手术和肿瘤切除后,患者在1年随访时头痛和癫痫发作症状消失。有症状且可切除的大脑皮层脂肪瘤应予以切除。