Lipoma do corpo caloso com extensão extracraniana através de falha óssea frontal

Martins, Roberto S.; Ciquini Jr., Orildo; Matushita, Hamilton; Plese, José Píndaro P.

doi:10.1590/S0004-282X1995000400022

Resumos

Os lipomas intracranianos geralmente se localizam no corpo caloso e raramente apresentam expansão para a região subgaleal. Revisão da literatura mostrou que apenas oito casos foram descritos em que o lipoma do corpo caloso se estendia para localização extracraniana através de falha óssea frontal. As manifestações clínicas mais comuns nesses pacientes eram crises convulsivas e retardo mental. A literatura mostra que a ressecção do lipoma de corpo caloso geralmente leva a resultados catastróficos, devendo ser restrita a porção extracraniana do tumor. O caso relatado é de uma criança portadora desta entidade, sem manifestação clínico-neurológica e que foi submetida a ressecção cirúrgica da porção subcutânea do lipoma com finalidade cosmética.

corpo caloso; lipoma intracraniano; osso frontal; falha óssea

Intracranial lipoma are usually localized in the corpus callosum and rarely extends to the subgaleal region. Only eight cases of lipoma of the corpus callosum with extracranial extension were reported in the literature. Seizures and mental retardation were the most common clinical findings in these patients. Data from the literature show that resection of intracranial lipoma has catastrophic results. The resection must be restricted to the extracranial portion. We report a child with lipoma of the corpus callosum with extracranial extension with no neurologic deficit submitted to resection of the extracranial extension.

corpus callosum; intracranial lipoma; frontal bone; bone defect

Lipoma do corpo caloso com extensão extracraniana através de falha óssea frontal

Lipoma of the corpus callosum with extracranial extension through a frontal bone defect

Roberto S. Martins^I; Orildo Ciquini Jr. ^II; Hamilton Matushita^II; José Píndaro P. Plese^III

^IResidente de Neurocirurgia. Disciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP)

^IINeurocirurgião. Disciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP)

^IIIProfessor Associado. Disciplina de Neurocirurgia, Departamento de Neurologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP)

RESUMO

Os lipomas intracranianos geralmente se localizam no corpo caloso e raramente apresentam expansão para a região subgaleal. Revisão da literatura mostrou que apenas oito casos foram descritos em que o lipoma do corpo caloso se estendia para localização extracraniana através de falha óssea frontal. As manifestações clínicas mais comuns nesses pacientes eram crises convulsivas e retardo mental. A literatura mostra que a ressecção do lipoma de corpo caloso geralmente leva a resultados catastróficos, devendo ser restrita a porção extracraniana do tumor. O caso relatado é de uma criança portadora desta entidade, sem manifestação clínico-neurológica e que foi submetida a ressecção cirúrgica da porção subcutânea do lipoma com finalidade cosmética.

Palavras-chave:corpo caloso, lipoma intracraniano, osso frontal, falha óssea.

SUMMARY

Intracranial lipoma are usually localized in the corpus callosum and rarely extends to the subgaleal region. Only eight cases of lipoma of the corpus callosum with extracranial extension were reported in the literature. Seizures and mental retardation were the most common clinical findings in these patients. Data from the literature show that resection of intracranial lipoma has catastrophic results. The resection must be restricted to the extracranial portion. We report a child with lipoma of the corpus callosum with extracranial extension with no neurologic deficit submitted to resection of the extracranial extension.

Key words:corpus callosum, intracranial lipoma, frontal bone, bone defect.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 11-abril-1995.

Dr. Roberto Sergio Martins - Divisão de Clínica Neurológica, Hospital das Clínicas, FMUSP - Av. Dr. Enéas de Carvalho Aguiar 255 - 05403-000 São Paulo SP - Brasil.

1. Budka H. Intracranial lipomatous hamartomas: a study of 13 cases including combinations with medulloblastomas, colloid and epidermoid cysts, angiomatosis and other malformations. Acta Neuropathol 1974, 28:205-222.
2. Cant WHP, Astley R. Lipoma of the corpus callosum. Arch Dis Childh 1952, 27:478-479.
3. Craddock WE, Riddervold HO. Unilateral calcification in a lipoma of the corpus callosus. J Can Assoc Radiol 1972, 23:192-194.
4. Groff RA, Liu CT, Leopold RL. Lipoma of the corpus callosum: survey of the literature and report of two surgical cases. Arch Neurol Psychiatr 1951, 65:253-254.
5. Hayashi T, Kadowaki T, Shyojima K, Honda E. Frontoethmoidal lipomeningocele. Child's Nerv Syst 1986, 2:37-39.
6. Kazner E, Stochdorph O, Wende S, Grumme T. Intracranial lipoma: diagnostic and therapeutic considerations. J Neurosurg 1980, 52:234-245.
7. Kushnet MW, Goldman RL. Lipoma of the corpus callosum associated with a frontal bone defect. Am J Roentgenol 1978, 131:517-518.
8. Kinol ME, Rasmussen G, Hamby WB. Lipoma of corpus callosum. J Neuropathol Clin Neurol 1951, 1:168-178.
9. Larsen JL, Stiris G. Lipoma of the corpus callosum with atypical calcification. Br J Radiol 1970, 43:576-577.
10. List CF, Holt JF, Everett M. Lipoma of the corpo callosum: a clinicopathologic study. Am J Roentgenol Radium Ther Nucl Med 1946, 55:125-134.
11. Luten PJ. Lipomen van het corpus callosum. Ned Tijdschr Geneeskd 1951, 95:1416-1421.
12. Nordin WA, Tesluk H, Jones RK. Lipoma of the corpus callosum. Arch Neurol Psychiatr 1955, 74:300-307.
13. Oftedal S. Anomalies of the mid-line structures of the brain. Acta Psychiatr Neurol Scand 1959, 34:451-453.
14. Patel AN. Lipoma of the corpus callosum: a nonsurgical entity. NC Med J 1965, 26:328-335.
15. Sosman MC, Campbell JA. Mid-line anomalies of the brain: their diagnosis by pneumoencephalography. Radiology 1946, 46:119-131.
16. Sukthomya C, Menakanit V. Lipoma of the nervous system: report of 2 cases. Australasian Radiology 1973, 17:256-260.
17. Vonderahe AR, Niemer WT. Intracranial lipoma: a report of four cases. J Neuropathol Exp Neurol 1944, 3:344-354.
18. Wallace D. Lipoma of the corpus callosum J Neurol Neurosurg Psychiatry 1976, 39:1179-1185.
19. Wolpert SM, Carter BL, Ferris EJ. Lipoma of the corpus callosum: an angiographic analysis. Am J Roentgenol 1972, 115:92-99.
20. Zee C, McComb JG, Segall HD, Tsai FY, Stanley P. Lipomas of the corpus callosum associated with frontal dysraphism. J Comput Assist Tomogr 1981, 5:201-205.
21. Zettner A, Netsky MG. Lipoma of the corpus callosum. J Neuropathol Exp Neurol 1960, 19:305-319.

Datas de Publicação

Publicação nesta coleção
20 Dez 2010
Data do Fascículo
Set 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Budka H. Intracranial lipomatous hamartomas: a study of 13 cases including combinations with medulloblastomas, colloid and epidermoid cysts, angiomatosis and other malformations. Acta Neuropathol 1974, 28:205-222.

[2] 2. Cant WHP, Astley R. Lipoma of the corpus callosum. Arch Dis Childh 1952, 27:478-479.

[3] 3. Craddock WE, Riddervold HO. Unilateral calcification in a lipoma of the corpus callosus. J Can Assoc Radiol 1972, 23:192-194.

[4] 4. Groff RA, Liu CT, Leopold RL. Lipoma of the corpus callosum: survey of the literature and report of two surgical cases. Arch Neurol Psychiatr 1951, 65:253-254.

[5] 5. Hayashi T, Kadowaki T, Shyojima K, Honda E. Frontoethmoidal lipomeningocele. Child's Nerv Syst 1986, 2:37-39.

[6] 6. Kazner E, Stochdorph O, Wende S, Grumme T. Intracranial lipoma: diagnostic and therapeutic considerations. J Neurosurg 1980, 52:234-245.

[7] 7. Kushnet MW, Goldman RL. Lipoma of the corpus callosum associated with a frontal bone defect. Am J Roentgenol 1978, 131:517-518.

[8] 8. Kinol ME, Rasmussen G, Hamby WB. Lipoma of corpus callosum. J Neuropathol Clin Neurol 1951, 1:168-178.

[9] 9. Larsen JL, Stiris G. Lipoma of the corpus callosum with atypical calcification. Br J Radiol 1970, 43:576-577.

[10] 10. List CF, Holt JF, Everett M. Lipoma of the corpo callosum: a clinicopathologic study. Am J Roentgenol Radium Ther Nucl Med 1946, 55:125-134.

[11] 11. Luten PJ. Lipomen van het corpus callosum. Ned Tijdschr Geneeskd 1951, 95:1416-1421.

[12] 12. Nordin WA, Tesluk H, Jones RK. Lipoma of the corpus callosum. Arch Neurol Psychiatr 1955, 74:300-307.

[13] 13. Oftedal S. Anomalies of the mid-line structures of the brain. Acta Psychiatr Neurol Scand 1959, 34:451-453.

[14] 14. Patel AN. Lipoma of the corpus callosum: a nonsurgical entity. NC Med J 1965, 26:328-335.

[15] 15. Sosman MC, Campbell JA. Mid-line anomalies of the brain: their diagnosis by pneumoencephalography. Radiology 1946, 46:119-131.

[16] 16. Sukthomya C, Menakanit V. Lipoma of the nervous system: report of 2 cases. Australasian Radiology 1973, 17:256-260.

[17] 17. Vonderahe AR, Niemer WT. Intracranial lipoma: a report of four cases. J Neuropathol Exp Neurol 1944, 3:344-354.

[18] 18. Wallace D. Lipoma of the corpus callosum J Neurol Neurosurg Psychiatry 1976, 39:1179-1185.

[19] 19. Wolpert SM, Carter BL, Ferris EJ. Lipoma of the corpus callosum: an angiographic analysis. Am J Roentgenol 1972, 115:92-99.

[20] 20. Zee C, McComb JG, Segall HD, Tsai FY, Stanley P. Lipomas of the corpus callosum associated with frontal dysraphism. J Comput Assist Tomogr 1981, 5:201-205.

[21] 21. Zettner A, Netsky MG. Lipoma of the corpus callosum. J Neuropathol Exp Neurol 1960, 19:305-319.