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Alexandre AM, Romi A, Gaudino S, Gessi M, Frassanito P, Camilli A, Luca S, Pedicelli A. Giant Congenital Hemangioma of the Skull: Prenatal Diagnosis and Multimodal Endovascular and Surgical Management. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:145. [PMID: 38256405 PMCID: PMC10821461 DOI: 10.3390/medicina60010145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/06/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024]
Abstract
Introduction: calvarial capillary hemangiomas are vascular tumors rarely seen in newborns. Differential diagnosis may be not straightforward on imaging studies and the management depends on patient and lesion characteristics. Case report: we present the case of a large congenital intracranial extra-axial lesion detected by routine prenatal US screening, a giant calvarial congenital hemangioma, treated with a multimodal strategy. Neonatal MR showed a hemorrhagic solid lesion, causing compression of brain tissue. Conservative treatment was attempted, but a one-month follow-up MR showed growth of the lesion with increased mass effect. Pre-operative endovascular embolization and surgical resection were performed. The pathology was consistent with intraosseous capillary hemangioma. The post-operative course was uneventful. At the 8-month follow-up, the patient had no clinical deficits and MR showed complete resection of the lesion. At the 13-month follow-up, the patient was asymptomatic, showing normal neurological examination and psychophysical development. Conclusions: although wait-and-see policy is feasible for small and asymptomatic lesions, radical resection is indicated when the mass is large, thus causing severe mass effect on the brain. Hypervascularization of the tumor may be responsible for hemorrhagic complications and severe anemia. On these grounds, endovascular treatment is feasible and effective to reduce hemorrhagic complications.
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Affiliation(s)
- Andrea M. Alexandre
- UOSA Interventional Neuroradiology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.M.A.); (A.P.)
| | - Andrea Romi
- Neuroradiology Unit, IRCCS Policlinico San Matteo, 27100 Pavia, Italy;
| | - Simona Gaudino
- Neuroradiology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy;
| | - Marco Gessi
- Neuropathology Unit, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Paolo Frassanito
- Pediatric Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli, 8, 00168 Rome, Italy;
| | | | - Scarcia Luca
- Department of Neuroradiology, Henri Mondor Hospital, 94000 Creteil, France
| | - Alessandro Pedicelli
- UOSA Interventional Neuroradiology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (A.M.A.); (A.P.)
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Dabbas WF, Hiasat MY, Ibrahim B, Allababede R, Alkhaldi TA, Al Warawrah A, Nadi M. A Report of Two Simultaneous Different Skull Vault Boney Pathologies: An Extremely Rare Clinical Scenario. Cureus 2023; 15:e40248. [PMID: 37440816 PMCID: PMC10334685 DOI: 10.7759/cureus.40248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2023] [Indexed: 07/15/2023] Open
Abstract
Primary calvarial boney tumors are generally rare in clinical practice. Multiple primary skull neoplasms are less frequent, typically associated with genetic disorders or familial syndromes. Sporadic cases of multiple skull tumors are exceptionally rare. We present a unique scenario of a 32-year-old female patient who had two right-sided skull vault lesions, one located over the right parietal area and the other in the right retro-auricular region. The lesions exhibited different behaviors over several years. The workup revealed that the two skull lesions were of two pathologies. The standard academic approach for clinical analysis attributes the symptoms often to one pathological process until proven otherwise. This case highlights the significance of expanding the differential diagnoses and incites clinicians to consider multiple pathologies in specific clinical settings.
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Affiliation(s)
- Waleed F Dabbas
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
| | | | - Bilal Ibrahim
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
| | - Razan Allababede
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
| | - Tareq A Alkhaldi
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
| | - Ayah Al Warawrah
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
| | - Mustafa Nadi
- Division of Neurosurgery, Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR
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3
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Rubini M, Gozzi A, Libianchi N, Dellù E, Spanò F, Di Biasi C, Pendenza M, Sala P, Filannino F, Zaio P. Metastatic cancer and endentulism: Exploring comorbidity to assist with differential diagnosis in a case from Vico nel Lazio (Fr, Italy), 13th-15th century CE. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2022; 38:1-12. [PMID: 35679660 DOI: 10.1016/j.ijpp.2022.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 05/13/2022] [Accepted: 05/27/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To differentially diagnose cranial lesions noted on a medieval skeleton and explore the importance of comorbidity. MATERIALS A skull of an adult female with osteolytic and osteoblastic lesions, edentulism, and an ectopic tooth from an ossuary of the Church of Santa Maria in Vico del Lazio, Frosinone Italy, dating to the Middle Ages. METHODS Macroscopic observations of the remains, CT scan, and differential diagnosis was undertaken. RESULTS A diagnosis of metastatic cancer (potentially breast cancer) or metastatic neuroblastoma (NBL) is offered. CONCLUSIONS Considering the noted comorbidities, this case might represent a rare case of metastatic neuroblastoma. SIGNIFICANCE The exploration of comorbidity, in this case the presence of metastatic carcinoma and edentulism, has tremendous potential to expand our knowledge about cancer in the past. LIMITATIONS Lack of postcranial elements. SUGGESTIONS FOR FURTHER RESEARCH Clinical and paleopathological investigation of comorbidity in modern and archeological populations to develop an evolutionary perspective on the presence of cancer in the past.
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Affiliation(s)
- Mauro Rubini
- S.A.B.A.P.-LAZIO, Anthropological Service, Ministry of Culture, Via Pompeo Magno 2, 00189 Roma, Italy; Department of Archeology, University of Foggia, Via Antonio Gramsci, 89, 71122 Foggia, Italy.
| | - Alessandro Gozzi
- S.A.B.A.P.-LAZIO, Anthropological Service, Ministry of Culture, Via Pompeo Magno 2, 00189 Roma, Italy
| | - Nunzia Libianchi
- S.A.B.A.P.-LAZIO, Anthropological Service, Ministry of Culture, Via Pompeo Magno 2, 00189 Roma, Italy
| | - Elena Dellù
- S.A.B.A.P.- BA, Physical Anthropology Service, Via Pier l'Eremita 25/B, 70122 Bari, Italy
| | - Ferdinando Spanò
- Emergency Diagnostics, Policlinico Umberto I, Sapienza Università di Roma, Viale del Policlinico, 155, 00161 Rome, Italy
| | - Claudio Di Biasi
- Emergency Diagnostics, Policlinico Umberto I, Sapienza Università di Roma, Viale del Policlinico, 155, 00161 Rome, Italy
| | - Matteo Pendenza
- Techniques of Medical Radiology, Imaging and Radiotherapy, Sapienza Università di Roma, Policlinico Umberto I, Sapienza Università di Roma, Viale del Policlinico, 155, 00161, Rome, Italy
| | - Paola Sala
- Techniques of Medical Radiology, Imaging and Radiotherapy, Sapienza Università di Roma, Policlinico Umberto I, Sapienza Università di Roma, Viale del Policlinico, 155, 00161, Rome, Italy
| | - Floriana Filannino
- Techniques of Medical Radiology, Imaging and Radiotherapy, Sapienza Università di Roma, Policlinico Umberto I, Sapienza Università di Roma, Viale del Policlinico, 155, 00161, Rome, Italy
| | - Paola Zaio
- S.A.B.A.P.-LAZIO, Anthropological Service, Ministry of Culture, Via Pompeo Magno 2, 00189 Roma, Italy
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Mezmezian MB, Arakaki N, Fallaza Moya S, Solé H, Olvi L. Petroclival intravascular papillary endothelial hyperplasia with psammoma body-like structures. Neuropathology 2019; 40:268-274. [PMID: 31802551 DOI: 10.1111/neup.12629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Revised: 11/07/2019] [Accepted: 11/12/2019] [Indexed: 11/27/2022]
Abstract
Masson's tumor or intravascular papillary endothelial hyperplasia (IPEH) is considered a non-neoplastic lesion. It is probably an unusual exaggerated reorganization of a thrombus. IPEH may be present as a secondary lesion in hemangiomas. Symptomatic osseous hemangiomas are rare tumors. Few cases of clival and petrous bone hemangiomas have been described. None of them shows secondary IPEH. So far, there are only four reported cases of cranial bone IPEHs in the literature, two in the skull, one in the clivus and one in the petrous apex. The aim of this study is to report an additional case of osseous hemangioma with secondary IPEH of the petroclival region. We review the literature and describe the main clinical features of IPEHs and hemangiomas of the clivus and the petrous bone. Additionally, we report an unusual histological feature observed in our case of IPEH, the presence of psammoma body-like structures. This feature has been rarely mentioned previously in IPEH. We consider that IPEH should be included in the lesions that may present psammoma bodies to avoid misdiagnosing it as a tumor that commonly shows psammoma bodies, such as intraosseous meningioma or, less frequently, metastasis of thyroid or ovarian carcinoma.
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Affiliation(s)
| | - Naomi Arakaki
- Neuropathology Department, FLENI, Buenos Aires, Argentina
| | | | - Horacio Solé
- Unit of Neurosurgery, Hospital Pirovano, Buenos Aires, Argentina
| | - Liliana Olvi
- Laboratory of Orthopaedic Pathology, Buenos Aires, Argentina
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A systematic approach in the diagnosis of paediatric skull lesions: what radiologists need to know. Pol J Radiol 2019; 84:e92-e111. [PMID: 31019602 PMCID: PMC6479152 DOI: 10.5114/pjr.2019.83101] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 12/03/2018] [Indexed: 12/14/2022] Open
Abstract
Paediatric skull lesions are commonly identified on imaging. They can be challenging to image, given their location and size, and often require several imaging modalities to narrow down the differential diagnosis. Accurate diagnosis of these lesions is paramount because the clinical therapy can vary tremendously. In this review, we provide a simple and systematic approach to clinical-radiological features of primary skull lesions. We highlight the imaging characteristics and differentiate pathologies based on imaging appearances. We also accentuate the role of cross-sectional imaging in lesion identification and management implications.
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6
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Abstract
OBJECTIVES The authors describe a case of congenital calvarial hemangioma successfully managed using propranolol therapy. Presenting symptoms, radiological and pathological features, differential diagnosis, and management of this rare congenital mass are described. CASE PRESENTATION A 2-year-old boy presented with a 1-year history of a growing right parietal skull mass. No obvious etiology was apparent. No focal neurological deficits or associated craniofacial anomalies were identified. Plain film imaging demonstrated focal thickening of the right parietal bone with internal trabeculations in a sunburst appearance. Computed tomography (CT) scan showed bone thickening with coarsening of the bony trabeculae, minor irregularity of the outer table, unaffected inner table, and no evidence of aggressive features. A diagnostic biopsy of the lesion was performed in the operating room. Microscopic examination was consistent with hemangioma. Based on histological and radiological features of the lesion, it was identified as a cavernous hemangioma. Medical treatment utilizing propranolol was initiated for over 3 years with interval reduction in the lesion size. MRI head following treatment with propranolol demonstrated reduction of the mass compared to preoperative imaging. CONCLUSIONS Although a rare entity, it is important to consider congenital calvarial hemangioma in the differential diagnosis of slow growing skull lesions due to the possibility of complications as a result of the hemangioma's intracranial extension, and the potential for treatment. En bloc resection has classically been described as a treatment for such lesions, although our case demonstrates that medical treatment with propranolol therapy may be appropriate in certain situations.
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7
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Ilyas M, Shah SA, Gojwari T, Rafiq S, Ellahi I, Ganaie KH. Classic imaging features of calvarial hemangioma-a case report. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2018. [DOI: 10.1016/j.ejrnm.2018.04.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Freiburg Neuropathology Case Conference : A Painless Mass Lesion of the Parietal and Occipital Bones. Clin Neuroradiol 2018; 28:301-306. [PMID: 29696306 DOI: 10.1007/s00062-018-0691-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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9
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Tan AP, Jacques TS, Mankad K, James G, Jeelani O, Slater O, D'Arco F. Melanotic neuroectodermal tumour of infancy: A case report and differential diagnosis. Neuroradiol J 2017; 31:434-439. [PMID: 29125038 DOI: 10.1177/1971400917741770] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Melanotic neuroectodermal tumour of infancy is an uncommon pigmented neoplasm of neural crest origin. It was first described in 1918 by Krompecher, known as congenital melanocarcinoma at that time. Although it is generally agreed upon that it is a benign entity, it is locally aggressive and has a significant recurrent risk, reported to be between 10-15%. There have also been prior reports of malignant behaviour in these tumours, although extremely rare. The majority of cases of this tumour (about 70%) arise from the maxilla and its occurrence in the cranial vault represents approximately 15.6% of cases. We describe a rare case of melanotic neuroectodermal tumour of infancy, with simultaneous involvement of the cranial vault and petrous temporal bone, in a four-month-old child, complicated by post-surgical pseudo-meningocele. This case illustrates the diagnostic dilemma in differentiating reactive osseous sclerosis from direct tumour infiltration, both of which can occur in the context of melanotic neuroectodermal tumour of infancy. The discussion places emphasis on differential diagnoses and useful radiological features to assist in clinching the diagnosis of melanotic neuroectodermal tumour of infancy.
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Affiliation(s)
- A P Tan
- 1 Department of Radiology, National University Health System, Singapore
| | - Thomas S Jacques
- 2 Developmental Biology and Cancer Programme, Great Ormond Street Institute of Child Health, UK.,3 Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
| | - Kshitij Mankad
- 4 Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
| | - Gregory James
- 5 Department of Neurosurgery, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
| | - Owase Jeelani
- 5 Department of Neurosurgery, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
| | - Olga Slater
- 6 Department of Oncology, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
| | - Felice D'Arco
- 4 Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, UK
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10
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Sarmast AH, Shafi Y, Kirmani AR, Bhat AR. A rare case of parietal bone hemangioma. J Neurosci Rural Pract 2016; 7:456-7. [PMID: 27365969 PMCID: PMC4898120 DOI: 10.4103/0976-3147.181458] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Arif Hussain Sarmast
- Department of Neurosurgery, Sher I Kashmir Institute of Medical Sciences SGR, Jammu and Kashmir, India
| | - Yaavar Shafi
- Department of Pathology, Sher I Kashmir Institute of Medical Sciences SGR, Jammu and Kashmir, India
| | - Altaf Rehman Kirmani
- Department of Neurosurgery, Sher I Kashmir Institute of Medical Sciences SGR, Jammu and Kashmir, India
| | - Abdul Rashid Bhat
- Department of Neurosurgery, Sher I Kashmir Institute of Medical Sciences SGR, Jammu and Kashmir, India
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11
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Kirmani AR, Sarmast AH, Bhat AR. A unique case of calvarial hemangioma. Surg Neurol Int 2016; 7:S398-401. [PMID: 27313966 PMCID: PMC4901824 DOI: 10.4103/2152-7806.183498] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Accepted: 03/04/2016] [Indexed: 11/18/2022] Open
Abstract
Background: Calvarial hemangiomas are one of the rarest neoplasms affecting the skull, predominantly occurring in parietal and frontal bones. Case Description: We report a parietal hemangioma in a middle-aged female which presented as a painless swelling that was progressively increasing in size and was treated surgically. Conclusion: Although rare, calvarial hemangioma should be a part of the differential diagnosis of calvarial swellings.
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Affiliation(s)
- Altaf Rehman Kirmani
- Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
| | - Arif Hussain Sarmast
- Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
| | - Abdul Rashid Bhat
- Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
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Abstract
OBJECTIVE The aim of this article is to describe the imaging features of the most common benign or malignant skull vault lesions, which may be focal, multifocal, or diffuse. CONCLUSION Imaging features, in association with the age, history, and clinical symptoms of the patient, make it possible to propose a course of action: simple survey, pathologic confirmation, or complete surgical resection.
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Razek AAKA. Imaging appearance of bone tumors of the maxillofacial region. World J Radiol 2011; 3:125-34. [PMID: 21666818 PMCID: PMC3110914 DOI: 10.4329/wjr.v3.i5.125] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2010] [Revised: 04/25/2011] [Accepted: 05/02/2011] [Indexed: 02/06/2023] Open
Abstract
This paper reviews the imaging appearance of benign and malignant bone tumors of the maxillofacial region. A benign bone tumor commonly appears as a well circumscribed lesion. The matrix of the tumor may be calcified or sclerotic. Malignancies often display aggressive characteristics such as cortical breakthrough, bone destruction, a permeative pattern and associated soft-tissue masses. Computed tomography scan is an excellent imaging modality for accurate localization of the lesion, characterization of the tumor matrix and detection of associated osseous changes such as bone remodeling, destruction or periosteal reaction. Magnetic resonance imaging is of limited value in the evaluation of maxillofacial bone tumors.
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14
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Eap C, Litre CF, Jazeron JF, Theret E, Duntze J, Patey M, Rousseaux P. [Intradiploic cavernous hemangioma of the calvaria: case report and review of the literature]. Neurochirurgie 2010; 57:42-5. [PMID: 20870256 DOI: 10.1016/j.neuchi.2010.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2009] [Accepted: 07/09/2010] [Indexed: 11/15/2022]
Abstract
We report the case of a 31-year-old patient who had had frontal cephalalgias for several years. CT and MRI anatomical imaging objectified a frontal osteolytic tumor respecting the osseous external table but compressing the superior sagittal sinus. Total en bloc resection of the tumor associated with titan cranioplasty was performed. The postoperative course was uneventful. Three months after surgery the patient no longer reported headache. The anatomical and pathological results concluded in intradiploic cavernous hemangioma. We discuss this case and others described in the literature.
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Affiliation(s)
- C Eap
- Service de neurochirurgie, hôpital Maison-Blanche, CHU de Reims, 45 rue Cognacq-Jay, Reims, France.
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Vega A, De Obieta E, Aguado G, Esqueda M, Ruíz S, Ramirez E, Pérez J. Hemangioma cavernoso multifocal en cráneo. Revisión de un caso. Neurocirugia (Astur) 2010. [DOI: 10.1016/s1130-1473(10)70101-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sasagawa Y, Akai T, Yamamoto K, Masuoka T, Itou S, Oohashi M, Iizuka H. Multiple cavernous hemangiomas of the skull associated with hepatic lesions. Case report. Neurol Med Chir (Tokyo) 2009; 49:162-6. [PMID: 19398861 DOI: 10.2176/nmc.49.162] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 55-year-old woman presented with multiple calvarial cavernous hemangiomas manifesting as right frontal swelling. Craniography and computed tomography showed an osteolytic lesion. Magnetic resonance imaging demonstrated multiple intraosseous lesions, and radioisotope bone scintigraphy identified even more numerous lesions. Total resection of the right frontal lesion and cranioplasty was performed. Histological examination confirmed the lesion as a cavernous hemangioma. Computed tomography of the abdomen revealed multiple hepatic lesions, which might be cavernous hemangiomas. Cavernous hemangioma is a rare bony tumor that should be considered in the differential diagnosis of skull tumors. A patient with multiple cavernous hemangiomas should undergo systemic examination to look for latent lesions, and regular follow-up examinations.
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Affiliation(s)
- Yasuo Sasagawa
- Department of Neurosurgery, Tonami General Hospital, 1-61 Shintomi-cho, Tonami, Toyama, Japan.
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Vural M, Acikalin MF, Adapinar B, Atasoy MA. Congenital cavernous hemangioma of the calvaria. Case report. J Neurosurg Pediatr 2009; 3:41-5. [PMID: 19119903 DOI: 10.3171/2008.10.peds08161] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The authors present the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone and discuss the radiological, operative, and pathological features and differential diagnosis of these extremely rare lesions in infants. Only 1 case of an infant with a calvarial cavernous hemangioma without intracranial invasion has previously been reported, and that case involved a 4 month old. Although a cavernous hemangioma of the calvaria is extremely rare in the newborn, this condition should be included in the differential diagnosis of calvarial lesions. During surgical treatment of calvarial cavernous hemangiomas, utmost attention should be paid to avoid blood loss, which could be fatal in infants.
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Affiliation(s)
- Murat Vural
- Department of Neurosurgery, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
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Vascular lesions of bone in children, adolescents, and young adults. A clinicopathologic reappraisal and application of the ISSVA classification. Virchows Arch 2008; 454:161-79. [DOI: 10.1007/s00428-008-0709-3] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2008] [Revised: 11/10/2008] [Accepted: 11/19/2008] [Indexed: 10/21/2022]
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