We describe the case of a 23-year-old man whose CT scan revealed a hypodense lesion reshaping the superior and middle third of the cliuus and partially invading the sphenoidal sinus. MRI showed an irregular-shaped lesion occupying the body of the sphenoid bone, involving the superior and middle third of the clivus and sprouting into the sphenoid sinus. The lesion was hyperintense on T1- and T2-weighted sequences with a thin peripheral rim of hypointensity, without enhancement after i.v. gadolinium injection. The pathology report confirmed an intraosseus lipoma. Intraosseous lipomas involving the spheno-clival region are extremely rare. CT and MRI scan interpretation can be troublesome but this rare pathology has to be considered in the differential diagnosis.
A rare case of intraosseous lipoma involving the sphenoclival region / Caranci, Ferdinando; M., Cirillo; D., Piccolo; G., Briganti; D., Cicala; G., Leone; Briganti, Francesco. - In: NRJ DIGITAL. - ISSN 2239-7493. - 2:21(2012), pp. 778-781. [10.1177/197140091202500607]
A rare case of intraosseous lipoma involving the sphenoclival region
CARANCI, FERDINANDO;BRIGANTI, FRANCESCO
2012
Abstract
We describe the case of a 23-year-old man whose CT scan revealed a hypodense lesion reshaping the superior and middle third of the cliuus and partially invading the sphenoidal sinus. MRI showed an irregular-shaped lesion occupying the body of the sphenoid bone, involving the superior and middle third of the clivus and sprouting into the sphenoid sinus. The lesion was hyperintense on T1- and T2-weighted sequences with a thin peripheral rim of hypointensity, without enhancement after i.v. gadolinium injection. The pathology report confirmed an intraosseus lipoma. Intraosseous lipomas involving the spheno-clival region are extremely rare. CT and MRI scan interpretation can be troublesome but this rare pathology has to be considered in the differential diagnosis.File | Dimensione | Formato | |
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