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16 April 2019 : Case report  Puerto Rico

Radiologic Features with Pathologic Correlation of an Unusual Large Intraosseous Skull Cavernous Hemangioma

Rare disease

Alvaro Bravo-Martinez1ABEF*, Amanda P. Marrero-Gonzalez1F, Mohammad N. Suleiman-Suleiman2B, Juan C. Vicenty-Padilla3B, Elizabeth Trullenque-Martinez1ADE

DOI: 10.12659/AJCR.913414

Am J Case Rep 2019; 20:525-530

Abstract

BACKGROUND: Intraosseous cavernous skull hemangiomas are rare benign vascular tumors that are usually found incidentally on imaging, with an asymptomatic and slow-growing course. We present a case in which the patient had a mass on her forehead for many years, which began to grow rapidly after head trauma. Imaging characteristics play a crucial role in the diagnosis and description of this disease, and in differentiating it from other more common calvarial lesions that may present with a similar clinical picture. Here, we report an unusual presentation of a large skull hemangioma and discuss the different radiologic imaging findings and pathologic correlations.

CASE REPORT: A 58-year-old female with history of a lump on her forehead since childhood, which began to grow rapidly after experiencing a closed-head injury. Due to its large size, she went on to seek further management. Radiologic images revealed a frontal skull lesion suggestive of an intraosseous hemangioma. She underwent embolization of the tumor, and 2 days later underwent bilateral frontal craniectomy and cranioplasty. Histopathologic findings confirmed this diagnosis.

CONCLUSIONS: Intraosseous skull hemangioma may be confidently diagnosed and differentiated from other skull lesions by its imaging characteristics. An accurate diagnosis is essential to selecting correct management and avoiding complications.

Keywords: Bone Neoplasms, Hemangioma, Cavernous, Skull, Head Injuries, Closed, Magnetic Resonance Imaging, Middle Aged, Skull Neoplasms, Tomography, X-Ray Computed

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923