Page 232 - Read Online

Chaurasia et al. Neuroimmunol Neuroinflammation 2017;4:232-5 Neuroimmunology and
DOI: 10.20517/2347-8659.2017.40
Neuroinflammation

www.nnjournal.net
Case Report Open Access

A rare case of quadrigeminal plate lipoma

presenting with the sixth cranial nerve palsy

Bipin Kumar Chaurasia , Narendra Shalike , Silak Ram Chaudhary , Shamsul Alam , Dhiman Chowdhory , Kanak
1
1
1
1
1
Kanti Barua , Ranjit Kumar Chaurasiya , Raushan Kumar Chaurasia , Ramesh Kumar Chaurasia , Tolga Dundar 4
2
1
1
3
1 Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000, Bangladesh.
2 Department of Emergency and Casualty, Bhawani Hospital, Birgunj 44300, Nepal.
3 Department of Nephrology, Golden Hospital Pvt. Ltd., Hospital Chowk, Biratnagar 56613, Nepal.
4 Department of Neurosurgery, Bezmialem Vakıf Universty, İstanbul 34265, Turkey.
Correspondence to: Dr. Bipin Kumar Chaurasia, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam
Avenue, Shahbag, Dhaka 1000, Bangladesh. E-mail: trozexa@gmail.com
How to cite this article: Chaurasia BK, Shalike N, Chaudhary SR, Alam S, Chowdhory D, Barua KK, Chaurasiya RK, Chaurasia RK, Chaurasia RK,
Dundar T. A rare case of quadrigeminal plate lipoma presenting with the sixth cranial nerve palsy. Neuroimmunol Neuroinflammation 2017;4:232-5.
ABSTRACT
Article history: Intracranial lipomas are rare benign tumour that is slow growing, generally asymptomatic,
Received: 14 Aug 2017 most frequently located in the midline areas and are usually an incidental finding on imaging
Accepted: 6 Sep 2017 and therefore cases are not frequently reported. This study reports a case of a patient with
Published: 9 Nov 2017 quadrigeminal plate lipoma presenting with obstructive hydrocephalous and the 6th cranial
nerve palsy that was successfully treated with ventriculo-peritoneal shunting without
Key words: addressing the lesion.
Lipoma,
quadrigeminal plate,
the 6th cranial nerve palsy,
hydrocephalus

INTRODUCTION MRI and therefore histopathological confirmation is
practically not required. We report a case of 19-year-
Intracranial lipomas are very uncommon slow growing old male who came to us with the 6th nerve palsy and
benign tumor with an incidence of less than 0.1% of diagnosed as quadrigeminal plate lipoma. We describe
all intracranial tumors usually found incidentally in CT and MRI findings with brief review of literature.
autopsy or whenever computed tomography (CT) or
magnetic resonance imaging (MRI) is advised for an
alternative reason. Intracranial lipomas are generally CASE REPORT
congenital, benign malformations and most frequently
located in the midline areas . CT and MRI are usually A 19-year-old male, a student of grade XII was referred
[1]
sufficient for diagnosis of lipomas because of very to our department with the complaint of headache for 2
low attenuation value on CT and short T1 and T2 on years, multiple episodes of vomiting, visual disturbances

Quick Response Code:
This is an open access article licensed under the terms of Creative Commons Attribution 4.0 International
License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution,
and reproduction in any medium, as long as the original author is credited and the new creations are licensed under the
identical terms.
For reprints contact: service@oaepublish.com

232 © The author(s) 2017 www.oaepublish.com