Background: Cavernous hemangiomas are benign tumor of
vascular origin, typically arising in the vertebral body. Its presence in the
skull is exceedingly rare, with only a few cases being reported worldwide. The
most common initial clinical manifestation was local growth or swelling,
followed by a headache. Radiographically, PICHs represented osteolytic,
intradiploic masses, which in many cases displayed trabeculations, leading to
the so-called "honeycomb" or "starburst" pattern the first
description of this type of tumor was in 1845 by Toynbee. A review of the
literature reveals less than 100 published cases and a growing trend every
year. Total surgical excision is the treatment of choice, and the prognosis
after complete excision is excellent, with a recurrence usually rare.
Case Presentation: We present the case of a 57-year-old
patient with a painless tumor of the left frontal bone, of slow growth and
osteolytic characteristics from the neuro-radiological point of view. The
lesion was excised en bloc by craniectomy, followed by cranioplasty. The
anatomopathological diagnosis was intraosseous cavernous hemangioma.
Conclusions: Despite its low frequency, the diagnosis of
intraosseous cavernous hemangioma should be considered in the presence of a
slow-growing cranial tumor, with solid and painless characteristics, and its
osteolytic nature confirmed by radiology. The treatment of choice consists in
the complete resection of the lesion with resolution of the problem and with
very low relapses. In very large tumors, treatment by prior embolization should
be considered.
Author(s) Details:
Alejandra Arévalo Sáenz,
Neurosurgery Service of the San Carlos University Hospital, C/
Profesor Martín Lagos S/N, Moncloa 28040 Madrid, Spain.
Borja Ferrández
Pujante,
Neurosurgery
Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N,
Moncloa 28040 Madrid, Spain.
Fernando J. Rascón-Ramírez,
Neurosurgery Service of the San Carlos University Hospital, C/
Profesor Martín Lagos S/N, Moncloa 28040 Madrid, Spain.
Please see the link here: https://stm.bookpi.org/NVMMS-V5/article/view/14152
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