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Intracranial lipoma of the quadrigeminal region associated with complex partial seizures
1Department of Paediatrics, Faculty of Medicine, Osaka University, Osaka, Japan.
Pediatric Radiology
|September 11, 1998
Insights
A rare intracranial lipoma in the quadrigeminal region caused complex partial seizures in a young boy. His seizures were effectively managed with carbamazepine, highlighting a potential treatment option.
Area of Science:
- Neuroscience
- Neurology
- Pediatric Neurology
Background:
- Intracranial lipomas are rare congenital tumors.
- Lipomas in the quadrigeminal region can be associated with neurological deficits.
- Seizures are a known complication of intracranial tumors.
Observation:
- A 7-year-old Japanese boy presented with an intracranial lipoma of the quadrigeminal region.
- The patient experienced complex partial seizures.
- Review of literature identified 28 similar cases, with 6 exhibiting seizures and 3 with mental retardation.
Findings:
- The patient's complex partial seizures were successfully controlled using carbamazepine.
- This case adds to the limited data on quadrigeminal plate and ambient cistern lipomas.
Implications:
- Carbamazepine may be an effective treatment for seizures associated with quadrigeminal lipomas.
- Further research is needed to understand the long-term prognosis and optimal management of these rare tumors.
- This case underscores the importance of considering intracranial lipomas in the differential diagnosis of pediatric epilepsy.
Abstract:
A 7-year-old Japanese boy with an intracranial lipoma of the quadrigeminal region and complex partial seizures is reported. Among 28 published patients with lipoma originating in the quadrigeminal plate and ambient cistern, 6 suffered from seizures and 3 were mentally retarded. Our patient's seizures were controlled with carbamazepine.