Giant primary calvarial hemangioma over torcula: Radiological features and operative nuances

Mohindra, Sandeep; Kapoor, Ankur; Mitra, Suvradeep; Nahar, Uma

doi:10.4103/2152-7806.183544

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…2e) are described in the literature more in women. As long as they are limited to the bone, they are often an asymptomatic random result [15,16,18]. Further growth can cause painful swelling.…”

Section: Discussionmentioning

confidence: 99%

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Calvarial lesions: overview of imaging features and neurosurgical management

et al. 2021

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Calvarial lesions are rare and can present as a variety of different diseases. The lesions can be palpable on the skin and cause local pain and paraesthesia and, depending on the location, neurological deficits can also occur. This research aims to present an overview of typical imaging features as well as neurosurgical management. We examined the charts of patients who underwent surgery on a calvarial lesion in our department between 2004 and 2017 (n=133). Retrospectively, the pre-, intra-, and postoperative data were analyzed with morphological and histological findings and compared with each other. Pain, swelling, cosmetically disturbing, and neurological deficits were the main complaints. Seventy-seven lesions were limited to the bone, while another 56 lesions showed an infiltrating growth in the adjacent tissue. Depending on the clinical signs and suspected diagnosis, a biopsy, a partial removal, or a complete resection was performed. Histiocytosis (n=20), meningiomas (n=20), metastases (n=19), and osteomas (n=16) were the most common lesions. Fibrous dysplasia (n=6) and intraosseous hemangioma (n=9) were less common; other lesions were present only in isolated cases. Imaging features may suggest the lesion to be benign or malignant, but the diagnosis can be only confirmed by histological examination. The surgical strategy depends on the complaints, location of the lesion, and suspected diagnosis. Adjuvant treatment should be initiated according to the histological findings.

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Section: Discussionmentioning

confidence: 99%

“…In the MRI, a variable arterio-venous contrast enhancement is described [8]. Complete resection down to healthy bone is recommended to minimize the recurrence risk [8,9,14,15,17,18]. Meningiomas ( Fig.…”

Section: Discussionmentioning

confidence: 99%

Calvarial lesions: overview of imaging features and neurosurgical management

et al. 2021

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“…As long as they are limited to the bone, they are often an asymptomatic random result [15,16,18]. Further growth can cause painful swelling.…”

Section: Discussionmentioning

confidence: 99%

“…In the MRI a variable arterio-venous contrast enhancement is described [8]. Complete resection down to healthy bone is recommended to minimize the recurrence risk [8,17,18,9,14,15]. Meningiomas (Fig.…”

Section: Discussionmentioning

confidence: 99%

Calvarial Lesions: Overview of Imaging Features and Neurosurgical Management

Nasi‐Kordhishti

Hempel

Ebner

et al. 2021

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ObjectiveCalvarial lesions are rare and can present as a variety of different diseases. The lesions can be palpable on the skin, cause local pain and paraesthesia and, depending on the location, neurological deficits can also occur. This research aims to present an overview of typical imaging features as well as neurosurgical management. MethodsWe examined the charts of patients who underwent surgery on a calvarial lesion in our department between 2004 and 2017 (n=133). Retrospectively, the pre-, intra- and postoperative data were analyzed with morphological and histological findings and compared with each other.ResultsPain, swelling, cosmetically disturbing and neurological deficits were the main complaints. Seventy-seven lesions were limited to the bone, while another 56 lesions showed an infiltrating growth in the adjacent tissue. Depending on the clinical signs and suspected diagnosis, a biopsy, a partial removal or a complete resection was performed. Histiocytosis (n=20), meningiomas (n=20), metastases (n=19) and osteomas (n=16) were the most common lesions. Fibrous dysplasia (n=6) and intraosseous hemangioma (n=9) were less common; other lesions were present only in isolated cases. ConclusionImaging gives a hint, but the diagnosis can be only confirmed by histological examination. The surgical strategy depends on the complaints, location of the lesion and suspected diagnosis. Adjuvant treatment should be initiated according to the histological findings.

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“…Overall calvarial haemangiomas account for 0.2% of all bone tumours 1–3. Giant calvarial haemangiomas are even rarer 2. They are approximately three times more common in women with peak incidence in second to fourth decades 1–3…”

Section: Descriptionmentioning

confidence: 99%