The patient, in this case, was diagnosed with WD and had a concurrent intracranial lipoma.WD is caused by defects in the ATP7B gene, resulting in abnormal copper metabolism, tissue copper accumulation, and copper-induced oxidative damage [11].Typical cranial MRI changes in WD usually present as symmetrical, high, or mixed signals on T2-weighted images, affecting mainly the putamen, pontine, midbrain, and thalamus [12, 13]. Here, ATP7B is linked to Wilson disease.