====== Brain angiolipoma ====== [[Brain angiolipoma]]s are extremely rare and almost all presented observations describe [[sellar tumor]]s. On MRI study brain [[angiolipoma]] may be mistaken for [[pituitary neuroendocrine tumor]] or [[meningioma]] but fat saturation sequences and histological examination clear the diagnosis ((Wilkins PR, Hoddinott C, Hourihan MD, Davies KG, Sebugwawo S, Weeks RD: Intracranial angiolipoma. J Neurol Neurosurg Psychiatry 50:1057–1059, 1987)) ((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 88:129–132, 1998)) ((Kolenc D, Zarković K, Jednacak H, Ozretić D, Habek M. Sellar angiolipomas: two case reports and a review of the literature. J Neurooncol. 2008 Aug;89(1):109-12.)) ((Rotondo M., D’Avanzo R., Natale M., Oliva G., Scuotto A. Lateral sellar angiolipomas: a therapeutic challenge. Our experience on two cases and review of the literature. British Journal of Neurosurgery, June 2013; 27(3): 359–363.)). In those rare cases when angiolipoma is found in [[cerebral hemisphere]]s, it is important to establish the diagnosis before surgery to plan correct treatment and avoid [[complication]]s, particularly profound [[bleeding]] ((Shekhtman O, Gorozhanin V, Shishkina L. A Rare Case of Brain Angiolipoma Imitating Arteriovenous Malformation: Differential Diagnosis, Surgical Treatment, and Literature Review. World Neurosurg. 2018 Jun;114:264-268. doi: 10.1016/j.wneu.2018.03.167. Epub 2018 Mar 31. Review. PubMed PMID: 29614355.)). Shekhtman et al. presented an untypical case of [[frontal lobe]] [[angiolipoma]] manifested with [[seizure]]s and initially described as an [[arteriovenous malformation]]. MRI with a fat-suppression sequence plays a key role in angiolipomas diagnostics. ((Shekhtman O, Gorozhanin V, Shishkina L. A Rare Case of Brain Angiolipoma Imitating Arteriovenous Malformation: Differential Diagnosis, Surgical Treatment, and Literature Review. World Neurosurg. 2018 Jun;114:264-268. doi: 10.1016/j.wneu.2018.03.167. Epub 2018 Mar 31. Review. PubMed PMID: 29614355.)). ---- A patient with Klippel-Feil syndrome and multiple malformations, including tracheoesophageal fistula, bifid thumb and intracranial lipomas/angiolipomas, that have not been previously described in the syndrome, so it is considered an exceptional finding ((Urdaneta Carruyo E, Rojas Zerpa G, Urdaneta Contreras A, Maldonado Alviarez M, Brito Rodríguez M. [Klippel-Feil syndrome with tracheoesophageal fistula, bifid thumb and cerebral angiolipoma.]. Arch Argent Pediatr. 2016 Dec 1;114(6):e398-e402. doi: 10.5546/aap.2016.e398. Spanish. PubMed PMID: 27869419. )). ===== References =====