{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:56:59Z","timestamp":1787025419986,"version":"build-2736575974"},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Intracranial lipomas are rare, benign lesions with no neoplastic origin. Most affected patients are asymptomatic and are typically pediatric or young adults. We describe a case of a child with a quadrigeminal plate lipoma presenting with seizures and hydrocephalus.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 6-year-old boy presented with dysarthria, spasticity, gait disturbances, headaches, and seizures. Magnetic resonance imaging revealed a lipomatous lesion in the quadrigeminal cistern with ventriculomegaly. An endoscopic third ventriculocisternostomy was performed for obstructive hydrocephalus, and a biopsy confirmed a lipoma. Over 6 years of follow-up, the patient\u2019s seizures remained controlled, and the lesion remained stable.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Conservative management with symptomatic control is recommended, given the typically benign progression of lipomas. Seizures are generally well managed with antiepileptic medications. Surgical resection should be reserved for cases where expansive lesions cause significant symptoms or hydrocephalus.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_728_2024","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T17:55:09Z","timestamp":1730397309000},"page":"393","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quadrigeminal plate lipoma presenting with seizures and hydrocephalus in a child \u2013 A case report"],"prefix":"10.25259","volume":"15","author":[{"given":"Walter","family":"Fagundes","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Federal University of Espirito Santo, Vitoria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana Das Chagas","family":"Correia","sequence":"additional","affiliation":[{"name":"Deparment of Medicine, Medical School of Multivix Vit\u00f3ria, Vitoria, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Fernandes","family":"Dantas","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal University of Rio Grande do Norte, Natal, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iago Nathan Simon","family":"Petry","sequence":"additional","affiliation":[{"name":"Department of Medicine, UNISUL, Palho\u00e7a, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,11,1]]},"reference":[{"key":"10.25259\/SNI_728_2024\/ref-1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/BF02232013","article-title":"Lipoma of the quadrigeminal plate cistern","volume":"6","author":"Ambrosetto","year":"1985","journal-title":"Ital J Neuro Sci"},{"key":"10.25259\/SNI_728_2024\/ref-2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3171\/jns.1986.65.3.0407","article-title":"Computerized tomographic and magnetic resonance imaging of intracranial lipoma. 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