Introduction: Lipomas account for approximately 0.15% of the cerebellopontine angle tumors. Audiometry usually shows unilateral or asymmetric sensorineural hearing loss with low speech recognition index. MRI is the gold standard for diagnosis, with no image enhancing with gadolinium, and positive fat suppression. Treatment is usually conservative and surgery is reserved for clinically untreatable dizziness, trigeminal neurology, and headache.