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İntrakraniyal dev lipom ve epilepsi: olgu sunumu

Intracranial giant lipoma and epilepsy: a case report

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2009

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Abstract (2. Language): 
Intracranial lipomas are very rare tumors with an incidence of approximately 0.1% of diagnosed brain tumors and 0.08% of tumors found on autopsy. Lipomas, classified in conjenital malformations of the central nervous system, constitute 0.06-0.46% of intracranial lesions. These tumors are usually asymptomatic, and detected during radiological investigations and autopsy. Intracranial lipomas usually present with headache, epileptic seizures, psychomotor retardation and cranial nerve paralysis. A 20-yearold male patient admitted to our department because of headache. He had the diagnosis of epilepsy (under control) since 12-year-old. His neurologic examination and neurophysiologic investigations were normal. His brain magnetic resonance imaging demonstrated a 5.5x6x8 cm sized interhemispheric mass lesion in fat intensity in all secanses and callosal agenesis. This article was presented to emphasize the co-existence of intracranial lipoma, callosal agenesis and epilepsy in the light of similar cases in the literature.
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Abstract (Original Language): 
ntrakraniyal lipomlar tanı konmuş beyin tümörlerinin yaklaşık %0.1’i ve otopsi olgularının %0.08’i ile oldukça nadir görülen tümörlerdir. Santral sinir sisteminin konjenital malformasyonları içerisinde sınıflandırılan lipomlar, intrakraniyal lezyonların %0.06-0.46’sını oluşturmaktadır. Genellikle asemptomatik olup, radyolojik incelemeler veya otopsi esnasında bulunur. İntrakraniyal lipomlar genellikle başağrısı, epileptik nöbet, psikomotor retardasyon ve kraniyal sinir paralizisi gibi klinik bulgularla kendini gösterir. Yirmi yaşında erkek hasta, başağrısı yakınması ile polikliniğimize müracaat etti. Hastanın öyküsünde 12 yaşından beri kontrol altında olan epilepsi tanısı mevcuttu. Nörolojik muayenesi ve nörofizyolojik incelemeleri normal sınırlarda olan hastanın beyin manyetik rezonans görüntülemesinde interhemisferik bölgede tüm sekanslarda yağ ile izointens görünüm ile karakterize yaklaşık 5.5x6x8 cm boyutlarında dev lipom ile uyumlu kitle lezyonu ve kallozal agenezi izlendi. Epilepsi ile intrakraniyal lipom ve kallozal agenezi birlikteliğini literatürdeki benzer olgular ışığında vurgulamak için bu makale sunulmuştu
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  • 4
256-258
  • Turkish

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