Fujii Y, Konishi Y, Kuriyama M, Hori C, Sudo M
Department of Pediatrics, Fukui Medical School, Japan.
Pediatr Neurol. 1993 Mar-Apr;9(2):144-6. doi: 10.1016/0887-8994(93)90052-e.
A 4-year-old Japanese boy with an intracranial lipoma above the surface of the left centroparietal lobes is reported. Paresthesia occurred in the right lower extremity. This symptom continued for 30 min and recurred several times a day. Three weeks after onset, the paresthesia disappeared spontaneously. Ten months after onset, generalized tonic seizures occurred. Routine cranial computed tomography at onset revealed no remarkable lesion, but subsequently full scans, including the slice at the top of the cerebrum, revealed low-density areas on the surface of the left centroparietal lobes. T1-weighted magnetic resonance imaging revealed a hyperintense area in the same regions. The intensity of these areas was decreased by the fat saturation technique; therefore, an intracranial lipoma at a very rare site was diagnosed.
报告了一名4岁日本男孩,其左中央顶叶表面上方存在颅内脂肪瘤。右下肢出现感觉异常。该症状持续30分钟,每天复发数次。发病三周后,感觉异常自发消失。发病十个月后,出现全身性强直发作。发病时的常规头颅计算机断层扫描未发现明显病变,但随后的全面扫描,包括大脑顶部层面,显示左中央顶叶表面有低密度区。T1加权磁共振成像显示相同区域有高信号区。通过脂肪饱和技术,这些区域的信号强度降低;因此,诊断为一个非常罕见部位的颅内脂肪瘤。