Intracranial lipomas (ICLs) are rare intracranial lesions. They represent a group of congenital malformations of the brain parenchyma, located more frequently in the pericallosal cistern and associated with other parenchymal or brain vascular malformations in up to half of cases. Introduction Intracranial lipomas have a characteristic high signal on T1-weighted images and intermediate/low signal on T2-weighted sequences on Magnetic Resonance Imaging (MRI). Although several reports mention seizures as an associated or presenting feature, this may only represent a higher incidence of intracranial abnormalities compared with the general population. Surgical removal is not recommended because of high complications rate and benign course of these lesions.
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