RT Journal Article
SR Electronic
T1 Holoprosencephaly or severe hydrocephalus: T1 sequence tells the story
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e228648
DO 10.1136/bcr-2018-228648
VO 12
IS 5
A1 Fariba Zarei
A1 Pooya Iranpour
A1 Sara Haseli
YR 2019
UL http://casereports.bmj.com/content/12/5/e228648.abstract
AB Intracranial lipoma is a relatively rare benign lesion. Many are incidental findings; however, some others may present with headache, hydrocephalus or other neurological symptoms; thus, correct diagnosis of this condition is important. These lesions are of high signal intensity on T2-weighted MRI and especially those close to cerebrospinal fluid (CSF) spaces, can easily be overlooked in the background of high signal intensity of CSF. Here, we present a case of tectal lipoma, with subsequent severe hydrocephalus and absence of septum pellucidum which was initially misinterpreted as a form of holoprosencephaly, due to inadequate attention to T1-weighted images.