Accumulation of intraventricular fat in an intracranial epidermoid tumor: Case report

Taek Hyun Kwon, Youn Kwan Park, Hung Seob Chung, Hoon Kap Lee

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)

    Abstract

    OBJECTIVE AND IMPORTANCE: A fat component within the ventricles or subarachnoid space in fat-containing tumors such as an epidermoid or a dermoid has been observed in rare instances. However, there have been no reports regarding an increase in the size of such a fat component. We describe the case of an epidermoid tumor with intraventricular fat that showed an increase in size and amount. CLINICAL PRESENTATION: A 26-year-old woman was admitted with headache and diplopia. Computed tomography and magnetic resonance imaging of the brain revealed a fat-containing suprasellar tumor and widespread fat globules in adjacent sulci and cisterns and within the frontal horn of the lateral ventricle. INTERVENTION: The patient underwent a pterional craniotomy. Removal of the suprasellar tumor was nearly total. Histopathological examination revealed an epidermoid tumor. Sequential magnetic resonance imaging throughout the ensuing 65-month period revealed no evidence of tumor recurrence; however, the intraventricular fat remained and increased in size. The patient underwent surgery via the transcallosal approach at 69 months after the initial operation, and the presence of free-floating oily fat globules was confirmed. CONCLUSION: In the case of a fat-containing tumor with free fat in the cerebrospinal fluid spaces, careful serial examination is necessary, with particular attention to the possibility of changes in size.

    Original languageEnglish
    Pages (from-to)450-452
    Number of pages3
    JournalNeurosurgery
    Volume49
    Issue number2
    DOIs
    Publication statusPublished - 2001

    Keywords

    • Epidermoid tumor
    • Intraventricular fat

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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