군발성 두통의 증상으로 나타난 접형골의 골내지방종 1예
A Case of Intraosseous Sphenoid Lipoma Presenting as Cluster Headache
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Intraosseous lipoma is an extremely rare benign primary bone tumor, most commonly foundin the long bones of lower extremities and calcaneus. Very few cases have been reported inthe skull base, and mostly noninvasive follow-up is proposed due to its indolent growth andthe low possibility of malignant transforming. Surgical biopsy or treatment is needed onlywhen the patient’s symptom is correlated with the location of the lesion. We report a rare caseof symptomatic intraosseous sphenoid lipoma which presented ipsilateral retroorbital pain ac-companied by watering eye and runny nose on the same side. Surgical excision led to immedi-ate resolution of the symptoms and the tumor was pathologically confirmed. This case high-lights the radiographic differential diagnosis based on the review of literature.
Abstract
Intraosseous lipoma is an extremely rare benign primary bone tumor, most commonly foundin the long bones of lower extremities and calcaneus. Very few cases have been reported inthe skull base, and mostly noninvasive follow-up is proposed due to its indolent growth andthe low possibility of malignant transforming. Surgical biopsy or treatment is needed onlywhen the patient’s symptom is correlated with the location of the lesion. We report a rare caseof symptomatic intraosseous sphenoid lipoma which presented ipsilateral retroorbital pain ac-companied by watering eye and runny nose on the same side. Surgical excision led to immedi-ate resolution of the symptoms and the tumor was pathologically confirmed. This case high-lights the radiographic differential diagnosis based on the review of literature.
참고문헌 (14)
- Murphey MD, "From the archives of the AFIP : Benign musculoskeletal lipomatous lesions", Radiographics, 24(5), pp.1433~1466 (2004)
- Pekcevik Y, "CT and MRI findings of the incidental intraosseous lipomatous lesions of the sphenoid bone", Head Neck, 38(2), pp.E41~E44 (2016)
- Reig-Boix V, "Computed tomography of intraosseous lipoma of os calcis", Clin Orthop Relat Res, 221, pp.286~291 (1987)
- Radl R, "Intraosseous lipoma : Retrospective analysis of 29 patients", Int Orthop, 28(6), pp.374~378 (2004)
- Kang HS, "Intraosseous lipoma : 18 years of experience at a single institution", Clin Orthop Surg, 10(2), pp.234~239 (2018)
- MacFarlane MR, "Intraosseous lipoma of the body of the sphenoid bone", J Clin Neurosci, 12(1), pp.105~108 (2005)
- Jamrozik Z, "Intraosseous lipoma of the sphenoid : A case study", Case Rep Neurol Med, 2013, pp.519341~ (2013)
- Elsurer C, "Isolated intraosseous lipoma of the ethmoid sinus", J Craniomaxillofac Surg, 41(8), pp.718~720 (2013)
- Abdalla WM, "Intraosseous lipoma of the left frontoethmoidal sinuses and nasal cavity", AJNR Am J Neuroradiol, 28(4), pp.615~617 (2007)
- Srubiski A, "Radiological features of the intraosseous lipoma of the sphenoid", Otolaryngol Head Neck Surg, 144(4), pp.617~622 (2011)
- Favier I, "Trigeminal autonomic cephalgias due to structural lesions : A review of 31 cases", Arch Neurol, 64(1), pp.25~31 (2007)
- Möller M, "The unique role of the trigeminal autonomic reflex and its modulation in primary headache disorders", Curr Opin Neurol, 32(3), pp.438~442 (2019)
- Milgram JW, "Intraosseous lipomas. A clinicopathologic study of 66 cases", Clin Orthop Relat Res, 231, pp.277~302 (1988)
- Campbell RS, "Intraosseous lipoma : Report of 35 new cases and a review of the literature", Skeletal Radiol, 32(4), pp.209~222 (2003)