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[Lipoma of the corpus callosum in an infant with seizures]
M Peter1, G Kreller-Laugwitz, H C Oppermann
1Abteilung für Allgemeine Pädiatrie, Universitäts-Kinderklinik Kiel.
Insights
A rare corpus callosum lipoma caused seizures in an infant. Phenobarbital effectively controlled the convulsions, making surgery unnecessary.
Area of Science:
- Neuro-oncology
- Pediatric Neurology
Background:
- Lipomas of the corpus callosum are rare congenital tumors.
- Intracranial lipomas can present with various neurological symptoms in infants.
Observation:
- A 3-month-old boy presented with brief seizures characterized by a peculiar grin.
- Diagnostic imaging including skull X-ray, cranial ultrasound, CT, and MRI confirmed a corpus callosum lipoma.
Findings:
- The corpus callosum lipoma was diagnosed as the cause of the infant's seizures.
- Phenobarbital treatment led to the complete cessation of convulsive episodes.
Implications:
- This case highlights the importance of considering intracranial lipomas in the differential diagnosis of infantile seizures.
- Conservative management with anticonvulsants may be sufficient for symptomatic corpus callosum lipomas, avoiding surgical intervention.
Abstract:
A 3 month-old boy was admitted because of short convulsions commencing with a peculiar grin. A lipoma of the corpus callosum was diagnosed by X-ray of the skull, cranial ultrasound, CT and magnetic resonance tomography. Following treatment with phenobarbital convulsions were not observed any longer. Surgical removal of the tumour was not indicated.