다량의 석회화를 동반한 두개강 내 궁륭부 지방종: 증례 보고

Intracranial Convexity Lipoma with Massive Calcification: Case Report

  • 김응태 (한양대학교 의과대학 영상의학과학교실) ;
  • 박동우 (한양대학교 의과대학 영상의학과학교실) ;
  • 류정아 (한양대학교 의과대학 영상의학과학교실) ;
  • 박충기 (한양대학교 의과대학 영상의학과학교실) ;
  • 이영준 (한양대학교 의과대학 영상의학과학교실) ;
  • 이승로 (한양대학교 의과대학 영상의학과학교실)
  • Kim, Eung-Tae (Department of Radiology, College of Medicine, Hanyang University) ;
  • Park, Dong-Woo (Department of Radiology, College of Medicine, Hanyang University) ;
  • Ryu, Jeong-Ah (Department of Radiology, College of Medicine, Hanyang University) ;
  • Park, Choong-Ki (Department of Radiology, College of Medicine, Hanyang University) ;
  • Lee, Young-Jun (Department of Radiology, College of Medicine, Hanyang University) ;
  • Lee, Seung-Ro (Department of Radiology, College of Medicine, Hanyang University)
  • 발행 : 2011.12.01

초록

두개강 내의 지방종은 두개강 내의 종양 중 약 0.5%의 발생 빈도를 보이는 매우 드문 질환이며 주로 뇌량 뇌조에서 발생한다. 저자들은 혈관 기형이나 선천성 기형을 동반하지 않으며, 다량의 석회화를 동반하고 매우 드문 위치인 두정부궁륭부에 발생한 지방종에 대해 보고하고자 한다.

Intracranial lipoma is a rare entity, accounting for less than 0.5% of intracranial tumors, which usually develops in the callosal cisterns. We report a case of lipoma with an unusual location; in the high parietal convexity combined with massive calcification, and no underlying vascular malformation or congenital anomaly.

키워드

참고문헌

  1. Faerber EN, Wolpert SM. The value of computed tomography in the diagnosis of intracranial lipomata. J Comput Assist Tomogr 1978;2:297-299 https://doi.org/10.1097/00004728-197807000-00010
  2. Kazner E, Stochdorph O, Wende S, Grumme T. Intracranial lipoma. Diagnostic and therapeutic considerations. J Neurosurg 1980;52:234-245 https://doi.org/10.3171/jns.1980.52.2.0234
  3. Maiuri F, Cirillo S, Simonetti L. Lipoma of the sylvian region. Clin Neurol Neurosurg 1989;91:321-323 https://doi.org/10.1016/0303-8467(89)90008-5
  4. Saatci I, Aslan C, Renda Y, Besim A. Parietal lipoma associated with cortical dysplasia and abnormal vasculature: case report and review of the literature. AJNR Am J Neuroradiol 2000;21:1718-1721
  5. Park NH, Shim JI, Yang KS, Rho TY, Kim YH. Lipoma of the sylvian fissure: a case report. J Korean Radiol Soc 2002;47: 247-250
  6. Morana G, Mancardi MM, Baglietto MG, Rossi A. Focal leptomeningeal enhancement and corticopial calcifications underlying a parietal convexity lipoma: a rare association of findings in 2 pediatric epileptic patients. J Child Neurol 2011;26:634-637 https://doi.org/10.1177/0883073810387665
  7. Truwit CL, Barkovich AJ. Pathogenesis of intracranial lipoma: an MR study in 42 patients. AJR Am J Roentgenol 1990;155:855-864; discussion 865 https://doi.org/10.2214/ajr.155.4.2119122
  8. Hatashita S, Sakakibara T, Ishii S. Lipoma of the insula. Case report. J Neurosurg 1983;58:300-302 https://doi.org/10.3171/jns.1983.58.2.0300
  9. Yilmaz N, Unal O, Kiymaz N, Yilmaz C, Etlik O. Intracranial lipomas--a clinical study. Clin Neurol Neurosurg 2006;108: 363-368 https://doi.org/10.1016/j.clineuro.2005.04.003
  10. Britt PM, Bindal AK, Balko MG, Yeh HS. Lipoma of the cerebral cortex: case report. Acta Neurochir (Wien) 1993; 121:88-92 https://doi.org/10.1007/BF01405190
  11. Verga P. Lipoma ed osteolipomi della pia madre. Tumori 1929;15:321-357
  12. Sasaki H, Yoshida K, Wakamoto H, Otani M, Toya S. Lipomas of the frontal lobe. Clin Neurol Neurosurg 1996;98: 27-31 https://doi.org/10.1016/0303-8467(95)00073-9
  13. Smith AS, Benson JE, Blaser SI, Mizushima A, Tarr RW, Bellon EM. Diagnosis of ruptured intracranial dermoid cyst: value MR over CT. AJNR Am J Neuroradiol 1991;12:175-180
  14. Ohba S, Yoshida K, Akiyama T, Ikeda E, Kawase T. Lipomatous meningioma. J Clin Neurosci 2007;14:1003-1006 https://doi.org/10.1016/j.jocn.2006.03.011