Intracranial lipomas are rare lesions that represent 0.1 % to 1.7 % of all intracranial tumors. This 35-year-old man presented to our clinic with the history of tonic-clonic seizures for 2 years. Cranial magnetic resonance imaging (MRI) studies revealed hyperintense, nonenhancing mass on T1- and T2-weighted images on left sylvian fissure. The intensity of the lesion was suppressed on fat saturation pulse sequence. Antiepileptic medication resolved the epilepsy complaint and after 6 months of follow-up period patient was seizure free. Sylvian lipomas should be medically followed-up unless they produce symptoms which are related to their mass.

Keywords: Intracranial lipoma, sylvian fissure, sylvian lipoma