Quadrigeminal Cistern Lipoma

quadrigeminal cistern lipoma

This patient was scanned for possible temporal lobe epilepsy – an incidental fatty mass of the quadrigeminal cistern was identified.

Quadrigeminal cistern lipomas make up approximately 10 – 25% of all intracranial lipomas, and may be associated with hypoplasia of the inferior colliculi or agenesis of the corpus callosum.

The differential includes:

  • thrombosed berry aneurysm – often will have calcified rim, and haemosiderin staining.
  • white epidermoid – rare, and will restrict on DWI
  • intracranial dermoid – if ruptured will often have multiple droplets.
  • intracranial teratoma
  • lipomatous transformation of neoplasm – PNETs, ependymomas, gliomas

For more images of the same case please visit Radiopaedia.org here.

1. L.A. Loevner Brain Imaging – Case review
2. StatDx.com

Credit: Dr Frank Gaillard