Primary Cavernous Hemangioma of the Skull: A Case Report
DOI:
https://doi.org/10.5222/sscd.2015.082Keywords:
Primary intraosseous cavernous hemangioma, acrylic cement, agnetic resonance imaging, calvarial hemangiomaAbstract
Primary osseous hemangiomas (POHs) are frequently seen benign vascular tumors that may involve any part of the body. The most prevalent type of hemangioma is cavernous type. The diagnosis of cavernous hemangiomas is established histopathologically. The other hemangioma types include sclerosing, cellular, and capillary hemangiomas. The authors present a 42-year-old female patient who applied with mild headache and swelling on her head. Her MRI and CT demonstrated a left calvarial lytic bony mass on the left frontal bone. She underwent left frontal craniectomy with en bloc resection of the osseous lesion with total excision of the surrounding soft tissue, followed by cranioplasty with acrylic cement. The histopathological examinations of the resected bony lesion and excised soft tissue showed that the former is primary intraosseous cavernous-type hemangioma and the later is lipoma. On follow-up after three years neurological examination was normal and no recurrence detected. The authors suggest that in the absence of history of trauma in the patient, antidepressant drugs may play a role in the etiology of cavernous hemangioma.