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CASE REPORT
BRAIN

Intracranial Xanthoma: Long-Term Follow-Up MR Findings

Y.J. Hwanga, G. Hura, S.J. Chaa, Y.H. Kima, S.Y. Kima and M.K. Kimb

a From the Department of Diagnostic Radiology, College of Medicine, Inje University, Ilsan Paik Hospital, Koyangsi, South Korea
b Department of Pathology, College of Medicine, Inje University, Ilsan Paik Hospital, Koyangsi, South Korea

Address correspondence to Yoon Joon Hwang, MD, Department of Diagnostic Radiology, Ilsan Paik Hospital, Inje University, 2240 Daewha-dong, Ilsan-gu, Kyonggi-do, 411-706, South Korea

SUMMARY: We report the serial MR findings and histologic features of intracerebral xanthoma in a patient with hyperlipidemia. MR imaging revealed nodule formations with variable degrees of edema and enhancement in the perivascular spaces. In some lesions, high-signal-intensity foci were observed on unenhanced T1-weighted images, which suggest lipid contents of the lesion.