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Relationship Between Pericallosal Lipoma and Neuropsychiatric Symptoms: A Case Report
Zargham Abbas1, Tayyibah Mahmood2, Val Bellman2
1Duke University Medical Center, Durham, North Carolina.
The Journal of Nervous and Mental Disease
|July 28, 2023
Summary
Pericallosal lipomas, rare tumors linked to corpus callosum development, can cause developmental delays and psychiatric issues. This case highlights incidental discovery via MRI in a teen with these symptoms.
Area of Science:
- Neuroscience
- Developmental Biology
- Radiology
Background:
- Intracranial lipomas are rare, congenital fat-containing tumors arising from abnormal embryonic meningeal differentiation.
- Pericallosal lipomas, a subtype associated with the corpus callosum, are the most common intracranial lipomas.
- These lesions often present with corpus callosum dysgenesis, leading to diverse clinical manifestations.
Observation:
- A 15-year-old male patient presented with a history of developmental delay and psychiatric symptoms.
- Magnetic resonance imaging (MRI) incidentally revealed a pericallosal lipoma.
- The incidental finding prompted further clinical evaluation and correlation.
Findings:
- The case illustrates a pericallosal lipoma associated with developmental delay and psychiatric symptoms.
- The imaging findings confirmed the presence of a fat-containing lesion near the corpus callosum.
- Correlation of imaging with clinical presentation was crucial for diagnosis.
Implications:
- This case underscores the importance of considering pericallosal lipomas in patients with unexplained developmental and psychiatric issues.
- Incidental MRI findings of pericallosal lipomas necessitate thorough clinical assessment.
- Understanding the spectrum of clinical presentations associated with corpus callosum dysgenesis is vital for patient management.
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