Cavernous Hemangioma of the Frontal Bone

Z, Sinnreich; Kremer, S. Lillian; Sadé, Jacob; Bernheim, Jacques

doi:10.1159/000276149

Cited by 16 publications

(6 citation statements)

References 9 publications

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“…These findings resemble those seen in the presence of a calcified cephalohematoma [39,40]. The MRI findings were seldom reported previously [4,8,13,27] and MRI scan reveals the lesion to be isointense with brain in T1-weighted images (Fig. 3B) and hyperintense on T2-weighted images (Fig.…”

Section: Discussionsupporting

confidence: 75%

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Cavernomas of the skull: review of the literature 1975–2000

2002

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We describe four patients with intraosseous cavernous hemangiomas of the skull which were localized supraorbitally, parietally (two cases), and occipitally. The diameter ranged from 15 mm to 25 mm. They presented with slowly growing mass, tender to pressure, with spontaneous pain, and with freely mobile skin above the cavernoma sites. Magnetic resonance imaging (hyperintensity on T2 and isointensity with brain on T1) and CT (osteolytic lesion with erosion of the tabula externa) confirmed the plain skull films showing the honeycomb or sunburst appearance pattern. Resections and postoperative course were uneventful. In three of these cases there was coexistence with tumors (meningeoma, malignant lymphoma, and malignant melanoma); none of these constellations has been described before. Generally, cavernous hemangiomas of the skull are rare. There is one extensive review published by Barnes in 1984 regarding a period of 136 years with 123 intraosseous hemangiomas of the skull and 74 of the jaws. Unfortunately, the histological confirmation is not completely clear and some capillary hemangiomas are included. In a review of the literature since 1975, we found 103 histologically proven intraosseous cavernous hemangiomas of the skull (with our four cases included) and 22 of the jaws, which are shown in an overview with respect to their localization. The most frequent site was frontal, followed by temporal.

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Section: Discussionsupporting

confidence: 75%

“…Calvarial cavernous hemangiomas account for 0.2% of all benign tumors of the skull [1]. In the last 25 years they have seldom been described [2,3,4,5,6,7,8]. In a comprehensive review of the literature in 1985, Barnes [1] discovered 123 intraosseous hemangiomas of the skull and 74 of the jaws, including cases from 1845 [9] to 1981 [10].…”

Section: Introductionmentioning

confidence: 99%

Cavernomas of the skull: review of the literature 1975–2000

2002

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“…CT revealed an intradiploic lytic mass with rarefaction and a honeycomb pattern. 4,10,12) CT is more helpful than MR imaging or other neuroimaging modalities in planning surgery, because it shows the site and extent of tumor better in bone windows. 10) T 1 -weighted MR imaging shows the lesion as nonhomogeneously intense.…”

Section: Discussionmentioning

confidence: 99%

Neuroradiological Features of Intraosseous Cavernous Hemangioma. Case Report.

Suzuki¹,

Ikeda

Matsumoto

2001

Neurol. Med. Chir.(Tokyo)

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A 40-year-old man presented to our hospital because of a painless lump on his right forehead. Radiography showed a radiolucent defect in the frontal bone. Bone window computed tomography demonstrated a lucent mass which expanded externally from the diplo äe destroying and passing through the outer plate. T 1 -weighted magnetic resonance imaging revealed the lesion as non-homogeneously isointense, and T 2 -weighted imaging as non-homogeneously hyperintense. The lesion was enhanced non-homogeneously after contrast administration. The lesion was subtotally removed. Histological examination suggested cavernous hemangioma. Preoperative examinations could not provide a definitive diagnosis, which was established by the operative finding. Because of the difficulty of diagnosis in the early stage, surgical treatment in the early stage is recommended for total removal and definitive diagnosis of intraosseous tumor.

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“…In a review by Wyke, 1 70% of cranial PICHs were localized to the calvarium, particularly the parietal and frontal bones. [16][17][18][19][20][21][22] PICHs are slow-growing lesions and typically occur in women in the fourth and fifth decades of life. As they enlarge, they present as immobile lumps on the head associated with periodic, dull throbbing headaches that occasionally develop into severe headaches.…”

Section: E F Gmentioning

confidence: 99%

Primary Intraosseous Skull Base Cavernous Hemangioma: Case Report

Liu¹,

Burger²,

Harnsberger³

et al. 2003

Skull Base

131

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Primary intraosseous cavernous hemangiomas (PICHs) of the skull base are extremely rare tumors. These lesions are most common in the frontal and parietal bones of the calvarium. The authors describe a 40-year-old female who presented with progressive headaches. Serial imaging revealed a contrast-enhancing intraosseous lesion of the lateral body of the sphenoid bone and the greater wing associated with encroachment of the inferior cavernous sinus and mild posterior displacement of the cavernous carotid artery. Follow-up imaging 9 years later revealed slow growth of the lesion. The patient underwent complete excision of the PICH through an extradural frontopolar approach. Pathological examination revealed an intraosseous cavernous hemangioma. PICHs of the skull base can mimic other more common skull base lesions and thus can be difficult to diagnose preoperatively. Diagnosis is usually made at surgery. The authors review the literature regarding the clinical presentation, radiological characteristics, pathological features, and surgical management of PICHs.

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Cavernous Hemangioma of the Frontal Bone

Cited by 16 publications

References 9 publications

Cavernomas of the skull: review of the literature 1975–2000

Cavernomas of the skull: review of the literature 1975–2000

Neuroradiological Features of Intraosseous Cavernous Hemangioma. Case Report.

Primary Intraosseous Skull Base Cavernous Hemangioma: Case Report

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