Intralabyrinthine lipoma
Yirmialtı yaşında erkek hasta kliniğimize 8 yıldır sağ kulağında işitme kaybı şikayeti ile başvurdu. Yapılan nörootolojik muay- enesinde patolojik bir bulguya rastlanılmadı. Pür ton odyometri testinde ileri derecede sensörinöral işitme kaybı tespit edildi. Magnetik rezonans (MR) ve bilgisayarlı tomografide sağ kohleayı, semisirküler kanalı ve internal akustik kanalı etkileyen lipamatöz lezyon tespit edildi. T1 ağırlıklı magnetik rezonans görüntülemesinde yağ supresyon testinin pozitif olması üzerine intralabirentin lipom tanısı konuldu. Lezyonun internal akustik kanala uzanması ve sadece sensörinöral işitme kaybına neden olması nedeniyle hastanın takibine karar verildi.
İntralabirintin lipoma
A 26-year-old man was admitted to our clinic with approximately 8 years history of hearing loss on the right side. The pathological findings were not found in the neuro-otological examination. Severity sensorinoral hearing loss (SNHL) was determined on the pure tone audiometry. The magnetic resonance imaging (MRI) and computed tomography (CT) were shown that the lipomatous lesion involved right cochlea, semicircular canal and internal auditorium canal. Intralabyrinthine lipoma was diagnosed via fat suppression techniques with MRI on T1-weighted images. The patient followed with MRI because he had just SNHL and the lesion minimal involved internal auditory canal.
___
- 1. Singh SP, Cottingham SL, Slone W, et al. Lipomas of the internal auditory canal. Arch Pathol Lab Med 1996;120: 681-3.
- 2.Siechen KD, Sato Y, Kirby P. (2005) Internal auditory canal mass in a 46-year-old woman. Arch Pathol Lab Med 2005; 129:1491-2.
- 3.Bigelow DC, Eisen MD, Smith PG, et al. Lipomas of the internal auditory canal and cerebellopontine angle. Laryngoscope 1998;108:1459-69.
- 4.Klob J. Zur Pathologic der Fettgeschwülste. (1859) Z Gesellsch Artze Wien 1859;15:673-75.
- 5.Huang TS. Primary intravestibular lipoma. Ann Otol Rhinol Laryngol 1989;98:393-5.
- 6.Dahlen RT, Johnson CE, Harnsberger HR, et al. CT and MR imaging characteristics of intravestibular lipoma. AJNR Am J Neuroradiol 2002;23:1413-7.
- 7.Hara A, Takahashi K, Ito Z, et al. Value of fat suppression magnetic resonance imaging in the diagnosis of lipomas of the internal auditory canal. Ann Otol Rhinol Laryngol 1997;106:343-7.
- 8. Méndez JC, Saucedo G, Ruiz P, et al. Lipoma of the inter- nal auditory canal: MR findings. Eur Radiol 2002;12:703-4.
- 9.Cappabianca S, Colella G, Pezzullo MG, et al. Lipomatous lesions of the head and neck region: imaging find- ings in comparison with histological type. Radiol Med 2008;113:758-70.
- 10. Yildiz H, Hakyemez B, Koroglu M, et al. Intracranial li- pomas: importance of localization. Neuroradiology 2006;48:1-7.
- 11. Maiuri S, Cirillo S, Simonetti L, et al. Intracranial li- pomas: diagnostic and therapeutic considerations. J Neurosurg Sci 1998;32:161-7.
- 12. Brackman DE, Bartels LJ. Rare Tumors of the Cerebellopontine angle. Otolaryngol Head and Neck Surgc 1980;88:555-9.
- 13. Christensen WN, Long DM, Epstein JL. Cerebellopontine angle lipoma. Hum pathol 1986;17:739-43.
- 14. Zimmermann M, Kellermann S, Gerlach R, et al. Cerebellopontine angle lipoma: case report and review of the literature. Acta Neurochir 1999;141:1347-51.
- 15. Feri GG, Savastio G, Modugno GC. Imaging case of the month: Lipoma of internal auditory canal and cerebel- lopontine angle. Otol & Neurol 2004;25:1027-28.