Incidental finding of a lipoma of the internal auditorycanal in a 12-year-old patient

Internal auditory canal lipomas are rare benign tumors that account for 0.08% of all intracranial tumors and can be confused with other more common lesions in this location, such as vestibular schwannoma. We present the case of a 12-year-old girl who was incidentally diagnosed with an internal auditory canal lipoma on magnetic resonance imaging (MRI) requested to study seizures. The patient was asymptomatic at the time of consultation. Periodic follow-up included MRI and auditory and vestibular evaluations. Accurate imaging diagnosis is essential for proper patient treatment, as internal auditory canal lipomas grow slowly and infrequently. Surgery is only indicated in cases of intractable or progressive symptoms or tumor growth.