[Intradiploic cavernous hemangioma of the calvaria: case report and review of the literature]

A Report of Two Simultaneous Different Skull Vault Boney Pathologies: An Extremely Rare Clinical Scenario

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.

Skull Vault Lesions: A Review

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.