[Lipoma of the temporal lobe]

Area of Science:

• Neurology
• Neurosurgery
• Pediatric Neurology

Background:

• Intracranial lipomas are rare tumors.
• Temporal lobe lipomas are exceptionally rare.
• Epilepsy is a common neurological disorder often requiring long-term management.

Observation:

• A 16-year-old female presented with drug-resistant epilepsy.
• An MRI revealed a temporal cerebral lobe lipoma.
• The patient experienced increasing seizure frequency despite anticonvulsive treatment.

Findings:

• Microsurgical excision of the temporal lobe lipoma was performed.
• Postoperative follow-up of 3.5 years showed complete seizure abatement.
• Anticonvulsive therapy was successfully reduced post-surgery.

Implications:

• Surgical removal of rare intracranial lipomas can be curative for associated epilepsy.
• This case highlights the importance of considering structural lesions in refractory epilepsy.
• Early diagnosis and surgical intervention may improve long-term outcomes in select epilepsy cases.