Angiolipoma intracraniano adjacente a aneurisma sacular cerebral: relato de caso e revisão da literatura

Resumo

Angiolipomas são neoplasias benignas compostas por adipócitos maduros e proliferação vascular angiomatosa de rara ocorrência no Sistema Nervoso Central. É relatado o caso de angiolipoma em cisterna silviana adjacente a aneurisma sacular de artéria cerebral média. São discutidas as características imagenológicas do tumor e a possibilidade de uma origem comum com lesões vasculares intracranianas. Este é o primeiro caso relatado de angiolipoma intracraniano associado a aneurisma de artéria cerebral média.

Abstract

Angiolipomas are benign neoplasms composed of mature fat cells and vascular angiomatous proliferation of rare incidence in Central Nervous System.It's related a case of angiolipoma in Sylvian fissure associated with cerebral saccular aneurysm of medial cerebral artery. Imagenologic characteristics of the tumor and a possible common origin with intracranial vascular lesions are discussed. This is the first reported case of intracranial angiolipoma involving medial cerebral artery aneurysm.

Palavras-Chave

angiolipoma intracraniano - aneurisma sacular - cefaleia - neoplasia cerebral

Keywords

intracranial angiolipoma - saccular aneurysm - headache - cerebral neoplasm

• Referências

• 1 Lin JJ, Lin F. Two entities in angiolipoma. A study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer 1974; 34 (3) 720-727
• 2 Pirotte B, Krischek B, Levivier M, Bolyn S, Brucher JM, Brotchi J. Diagnostic and microsurgical presentation of intracranial angiolipomas. Case report and review of the literature. J Neurosurg 1998; 88 (1) 129-132
• 3 Schievink WI, Thompson RC, Yong WH. A syndrome of spontaneous cerebral and cervical artery dissections with angiolipomatosis. Report of two cases. J Neurosurg 2003; 98 (5) 1124-1127
• 4 Takeuchi J, Handa H, Keyaki A, Haibara H, Ozaki S. Intracranial angiolipoma. Surg Neurol 1981; 15 (2) 110-113
• 5 Ochoa Reyes J, Peniche J, Arellano Mendoza I, Mercadillo P. Lipoma y angiolipoma: estúdio clínico patológico, comparativo y retrospectivo em 260 pacientes. Dermatol Rev Mex 1994; 38 (6) 393-397
• 6 Aguiar PH, Plese JP, Rosemberg S , et al. Angiolipoma de coluna torácica: relato de caso. Arq Bras Neurocir 1996; 15 (2) 103-107
• 7 Akhaddar A, Albouzidi A, Elmostarchid B, Gazzaz M, Boucetta M. Sudden onset of paraplegia caused by hemorrhagic spinal epidural angiolipoma. A case report. Eur Spine J 2008; 17 (Suppl. 02) S296-S298
• 8 Balbo RJ, Araújo JFM, Melro CAM, Iafigliola MG, Valvassore FR. Angiolipoma epidural torácico. Relato de caso. Arq Neuropsiquiatr 1995; 53 (3-B): 659-661
• 9 Blount JP, Elton S. Spinal lipomas. Neurosurg Focus 2001; 10 (1) e3
• 10 Gelabert-González M, García-Allut A. Spinal extradural angiolipoma: report of two cases and review of the literature. Eur Spine J 2009; 18 (3) 324-335
• 11 Machado Filho JA, Fabião Neto OM, Ordovás CA, Hack I, Gallo P. Angiolipoma intrarraquidiano: relato de caso. Arq Bras Neurocir 1993; 12 (2) 141-144
• 12 Palmieri GN, Borré GE, Borré DG. Angiolipoma epidural: presentación de caso y revisión de literatura. Rev Argent Radiol 2000; 64 (3) 231-234
• 13 Park JH, Jeon SR, Rhim SC, Roh SW. Lumbar spinal extradural angiolipoma: case report and review of the literature. J Korean Neurosurg Soc 2008; 44 (4) 265-267
• 14 do Souto AA, Domingues FS, Chimelli L, Lemos AM. Lumbosacral angiolipoma: case report. Arq Neuropsiquiatr 2003; 61 (2A): 269-273
• 15 Trewhella RN, Gutiérrez JP, Cubillos AL, Rjas GH, Olivares O, Ramis C. Angiolipoma espinal diagnosticado durante el embarazo. Rev Chil Obstet Ginecol 2003; 68 (3) 245-247
• 16 Turgut M. [Lumbosacral angiolipoma]. Arq Neuropsiquiatr 2004; 62 (1) 185-186 , author reply 186
• 17 François P, Zemmoura I, Fouquet AMB, Jan M, Velut S. Lateral sellar angiolipoma: a tumor illustrative of the extradural compartment of the neural axis. J Neurosurg 2010; 113 (5) 1053-1058
• 18 Gerber SS, Plotkin R. Lipoma of the corpus callosum. Case report. J Neurosurg 1982; 57 (2) 281-285
• 19 Loddenkemper T, Morris III HH, Diehl B, Lachhwani DK. Intracranial lipomas and epilepsy. J Neurol 2006; 253 (5) 590-593
• 20 Wilkins PR, Hoddinott C, Hourihan MD, Davies KG, Sebugwawo S, Weeks RD. Intracranial angiolipoma. J Neurol Neurosurg Psychiatry 1987; 50 (8) 1057-1059
• 21 Shuangshoti S, Vajragupta L. Angiolipoma of thalamus presenting with abrupt onset suggestive of cerebrovascular disease. Clin Neuropathol 1995; 14 (2) 82-85
• 22 Lee HK, Ghani AR, Sayuthi S , et al. Intraventricular angiolipoma. Med J Malaysia 2007; 62 (4) 339-340
• 23 Viada Lozano J, Moyano SL, Sepúlveda SJC. Angiolipoma mastoideo. Rev Otorrinolaringol Cir Cabeza Cuello 1998; 58 (1) 31-34
• 24 Feldman RP, Marcovici A, LaSala PA. Intracranial lipoma of the sylvian fissure. Case report and review of the literature. J Neurosurg 2001; 94 (3) 515-519
• 25 Hatashita S, Sakakibara T, Ishii S. Lipoma of the insula. Case report. J Neurosurg 1983; 58 (2) 300-302
• 26 Futami K, Kimura A, Yamashita J. Intracranial lipoma associated with cerebral saccular aneurysm. Case report. J Neurosurg 1992; 77 (4) 640-642
• 27 Vilela P, Saraiva P, Goulão A. Intracranial angiolipoma as cause of subarachnoid haemorrhage. Case report and review of the literature. Neuroradiology 2005; 47 (2) 91-96
• 28 Stevenson JC, Choksey MS, McMahon J, Crawford PJ. Multiple cerebral aneurysms, multiple meningiomas and multiple subcutaneous angiolipomas: a case report. Br J Neurosurg 1994; 8 (4) 477-481
• 29 Friedman RB, Segal R, Latchaw RE. Computerized tomographic and magnetic resonance imaging of intracranial lipoma. Case report. J Neurosurg 1986; 65 (3) 407-410