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KMID : 0942820020010010074
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Journal of Korean Brain Tumor Society
2002 Volume.1 No. 1 p.74 ~ p.77
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Intracranial Angiolipoma - Case Reprt -
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Lim Sung-Joon
Lim Dong-Jun
Kim Woo-Jae
Cho Tae-Hyung
Chung Yong-Gu
Kim Se-Hoon
Suh Jung-Keun
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Abstract
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Intracranial angiolipoma is a rare benign tumor containing mature adipose tissue admixed with a few vascular elements. Angiolipoma is mostly found in peripheral tissues and represent mesenchymal hamartomas. The authors report the case of a 58-year-old woman who presented with symptom of oculomotor nerve palsy. Computed tomography scanning revealed a well-enhanced solid mass in the sellar region which extended to left parasellar region. On MR the mass was low signal intensity on T1-weighted image and high on T2-weighted image. There were not any abnormal values in the hormonal studies. We performed operation via a left fontotemporal craniotomy. In the operative field, the tumor was a pinkish well-circumscribe mass with highly vascularity. A partial resection was performed because of profuse bleeding. In pathological examination the tumor was composed of the vascular components with intermingling adipose tissue. We should consider angiolipoma as the possible pathology when CT and MR images showed lipid signal in sellar and parasellar area even if intracranial angiolipoma is very rare which is commonly found in these regions.
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KEYWORD
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Angiolipoma, Mesenchymal hamartoma, Adipose tissue, Parasellar region
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