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Shabto JM, Coombs A, Stevens S, Adapa A, Overdevest JB, Youngerman B, Kazim M. Intraosseous venous malformation of the frontal bone with extension into the frontal sinus and orbit. Orbit 2024:1-5. [PMID: 39158410 DOI: 10.1080/01676830.2024.2363218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 05/29/2024] [Indexed: 08/20/2024]
Abstract
We present a novel case of intraosseous venous malformation of the frontal bone with dehiscence of the inner table of the frontal calvarium and extension into the frontal sinus and orbit. This case report discusses the surgical management of this intraosseous lesion achieved with a multidisciplinary approach involving otolaryngology and neurosurgical teams. We also present a review of the literature of the pathophysiology of venous malformations, the imaging modalities that aid in diagnosis of these lesions and the management options.
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Affiliation(s)
- Julie M Shabto
- Department of Ophthalmology, Edward S. Harkness Eye Institute, New York Presbyterian-Columbia University, New York, New York, USA
| | - Allison Coombs
- Department of Ophthalmology, Edward S. Harkness Eye Institute, New York Presbyterian-Columbia University, New York, New York, USA
| | - Shanlee Stevens
- Department of Ophthalmology, Edward S. Harkness Eye Institute, New York Presbyterian-Columbia University, New York, New York, USA
| | - Arjun Adapa
- Department of Neurosurgery, New York Presbyterian-Columbia University, New York, New York, USA
| | - Jonathan B Overdevest
- Department of Otolaryngology, New York Presbyterian-Columbia University, New York, New York, USA
| | - Brett Youngerman
- Department of Neurosurgery, New York Presbyterian-Columbia University, New York, New York, USA
| | - Michael Kazim
- Department of Ophthalmology, Edward S. Harkness Eye Institute, New York Presbyterian-Columbia University, New York, New York, USA
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Alexiou GA, Lampros M, Gavra MM, Vlachos N, Ydreos J, Boviatsis EJ. Primary Intraosseous Cavernous Hemangioma of the Cranium: A Systematic Review of the Literature. World Neurosurg 2022; 164:323-329. [PMID: 35654328 DOI: 10.1016/j.wneu.2022.05.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 05/21/2022] [Accepted: 05/23/2022] [Indexed: 11/17/2022]
Abstract
Primary intraosseous cavernous hemangioma (PICH) is a rare, 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. We carried out the first systematic review of the literature, covering the epidemiology, clinical and imaging features, management, and prognosis of cranial PICH. The literature search revealed 51 studies with 77 patients; the mean age of the patients was 32.7 years with a female predominance of 1.4:1. The majority of cranial PICHs were located in the calvarium, primarily in the frontal and parietal regions, with only a few located in the skull base. 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. After contrast administration, PICHs typically enhance. Tumor removal, with craniectomy or en bloc resection and subsequent skull reconstruction, was selected for calvarial PICHs, whereas a transsphenoidal approach, with only partial resection, was applied for clival/sella PICHs. Preoperative embolization, aiming to minimize intraoperative blood loss, was performed in the case of large tumors. At a mean follow-up of 39 months, no patient experienced tumor recurrence, even after subtotal resection. Owing to the benign nature of the tumor, maximal safe resection is recommended as the treatment of choice for patients with cranial PICH.
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Affiliation(s)
- George A Alexiou
- Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece.
| | - Marios Lampros
- Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
| | - Maria M Gavra
- Department of CT and MRI Imaging, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Nikolaos Vlachos
- Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
| | - John Ydreos
- Department of Neurosurgery, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Efstathios J Boviatsis
- Department of Neurosurgery, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Nagamine K, Kanaya K, Miyairi Y, Ogiso Y, Shigeta H. Aggressive growing of the infantile cavernous hemangioma of the calvaria: a case report and review of literature. Childs Nerv Syst 2021; 37:319-323. [PMID: 32435889 DOI: 10.1007/s00381-020-04678-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 05/11/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Primary intraosseous cavernous hemangiomas of the skull are very rare in the pediatric age group and usually slow-growing tumors. CASE REPORT We present a case of 5-month-old girl with a left occipital cavernous hemangioma that is rapidly growing. The subcutaneous occipital tiny mass was first noted at birth, and the lesion became rapidly enlarged in size and became soft for 3 months. The left occipital subcutaneous lesion was 4.0 × 4.0 × 2.0 cm (AP × LR × HT) in size. There was no history of trauma or bone tumor in her family. She underwent resection of the lesion, and a pathologic diagnosis of calvarial cavernous hemangioma was made. No recurrence was seen 1 year after surgery. CONCLUSION The rapid growth of the infant cavernous hemangioma might be related to not only bleeding and/or congestion of the lesion but the immature thin skull of the infant.
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Affiliation(s)
- Kohei Nagamine
- Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan
| | - Kohei Kanaya
- Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan.
| | - Yosuke Miyairi
- Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan
| | - Yoshifumi Ogiso
- Department of Clinical Laboratory, Nagano Children's Hospital, Azumino, Japan
| | - Hiroaki Shigeta
- Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan
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Sáenz AA, Porto NF, Sánchez MP. Intraosseous cavernous hemangioma: presentation of a clinical case. EGYPTIAN JOURNAL OF NEUROSURGERY 2018. [DOI: 10.1186/s41984-018-0018-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Ryu HS, Moon KS, Lee KH, Kim IY, Jung S. Dural Penetration of Cavernous Hemangioma on Skull: Uncommon Clinical Presentation. World Neurosurg 2017; 110:39-42. [PMID: 29109062 DOI: 10.1016/j.wneu.2017.10.148] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Revised: 10/25/2017] [Accepted: 10/26/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Cavernous hemangioma (CH) of the bone is a rare, benign neoplasm found usually in the vertebral body. This tumor rarely develops in the calvaria, with predilection to occur in the frontal and temporoparietal bones. CASE DESCRIPTION A 56-year-old man with a right frontal palpable mass was admitted to our hospital. Magnetic resonance imaging (MRI) revealed a large extra-axial tumor in the right frontal bone. Intraoperatively, the bony mass involved the multilayers composed of extracranium-skull-dura-intradura-cortex. Pathologic examination revealed a typical calvarial CH penetrating dura mater. CONCLUSIONS This is the second reported case of calvarial CH with complete erosion of the dural plane and extension into subdural space. Although surgical resection is generally safe and easy, the possibility of dural invasion should be kept in mind for safe resection of calvarial CH, especially overlying the eloquent brain area.
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Affiliation(s)
- Hyun-Seung Ryu
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, South Korea
| | - Kyung-Sub Moon
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, South Korea.
| | - Kyung-Hwa Lee
- Department of Pathology, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, South Korea
| | - In-Young Kim
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, South Korea
| | - Shin Jung
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School, Gwangju, South Korea
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Abstract
Primary intraosseous cavernous hemangiomas (PICHs) are benign vascular tumors that may involve any part of the body. PICH occurs more frequently in the spine and less commonly in skull. The earliest description in the English literature was in 1845 by Toynbee, who reported a vascular tumor arising in the confines of the parietal bone. Skull PICHs do not always have typical radiologic features and should always be considered in the differential diagnosis of malignant skull lesions. We now reviewed and analyzed related literatures in detail with reporting a rare case of PICH in the left front bone that was surgically resected.
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Affiliation(s)
- Yi Yang
- From the Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
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Dutta M, Jotdar A, Kundu S, Mukhopadhyay S. Primary Cavernous Haemangioma of the Frontal Bone: Computed Tomography Features. J Clin Diagn Res 2016; 9:MJ01-2. [PMID: 26816926 DOI: 10.7860/jcdr/2015/15999.6915] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 10/16/2015] [Indexed: 11/24/2022]
Affiliation(s)
- Mainak Dutta
- RMO-Cum-Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, India
| | - Arijit Jotdar
- Junior Resident, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, India
| | - Sohag Kundu
- RMO-Cum-Clinical Tutor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, India
| | - Subrata Mukhopadhyay
- Professor, Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital , Kolkata, India
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Abstract
A 59-year-old man presented with a slowly enlarging mass in the lateral orbital rim of the left eye for 1 year. He also reported a history of crania defect in the left front bone (6 years earlier) which was confirmed on the former computed tomographic (CT) scan. On examination, the solid mass lesion located in the left frontal extends to the lateral orbital rim of the left eye. CT scan showed a mass with poorly defined margins, which invaded the neighboring tissue and nearly damaged the bone, and located on the exact site of the preceding crania defect. Complete resection was performed, and the clinical diagnosis of cavernous hemangioma was confirmed on histopathologic examination. Skull cavernous hemangiomas are rare tumors for which the origin is not yet clear. We report a case in which the intraosseous hemangiomas developed at the same site of the preceding crania defect.
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Cavernous hemangioma of the skull and meningioma: association or coincidence? Case Rep Neurol Med 2015; 2015:716837. [PMID: 25960899 PMCID: PMC4415757 DOI: 10.1155/2015/716837] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2014] [Revised: 03/26/2015] [Accepted: 04/04/2015] [Indexed: 11/18/2022] Open
Abstract
Intraosseous cavernous hemangiomas of the skull are rare. Meningiomas are quite frequently encountered in a neurosurgical practice. The association between these two entities is nevertheless very uncommon. The authors present a case of a 72-year-old woman suffering from headache. The MRI showed a parietal meningioma with adjacent thick bone. The meningioma and the bone were removed. The histological examination confirmed the diagnosis of meningioma and revealed a cavernoma of the skull. The relationship between the lesions suggests more than a coincidental association. Several hypotheses are proposed to explain common causal connections.
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Tyagi DK, Balasubramaniam S, Sawant HV. Giant primary ossified cavernous hemangioma of the skull in an adult: A rare calvarial tumor. J Neurosci Rural Pract 2013; 2:174-7. [PMID: 21897684 PMCID: PMC3159357 DOI: 10.4103/0976-3147.83587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Primary intraosseous cavernous hemangiomas (PICHs) of the cranium are rare benign vascular tumors that account for about 0.2 % of all bone tumors and 10 % of benign skull tumors. They generally present as osteolytic lesions with honeycomb pattern of calcification. Completely ossified cavernous hemangioma of the calvarium in an adult has not been reported previously. A 28-year-old female presented to us with a large right parietal skull mass that had been present since the last 15 years. Total resection of the lesion was performed. Pathological examination was suggestive of cavernous hemangioma of the skull bone. Cavernous hemangioma should be considered as one of the differential diagnosis in any case of bony swelling of the calvarium so that adequate preoperative planning can be made to minimize blood loss and subsequent morbidity.
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Affiliation(s)
- Devendra K Tyagi
- Department of Neurosurgery, TN Medical College and B.Y.L. Nair Hospital, Mumbai, India
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Haeren RHL, Dings J, Hoeberigs MC, Riedl RG, Rijkers K. Posttraumatic skull hemangioma: case report. J Neurosurg 2012; 117:1082-8. [PMID: 22998057 DOI: 10.3171/2012.8.jns112141] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Intraosseous cavernous hemangiomas of the skull are rare lesions for which the origin is unclear. The authors present a case in which there was a radiologically documented history of trauma preceding the development of a hemangioma in the frontal bone. In a review of the literature the authors found 83 cases of skull hemangiomas, and 43% of the lesions were located in the frontal bone. In 25% of these lesions, previous trauma was reported anamnestically. The present case and radiological findings related to it suggest a causal relationship between trauma and the development of intraosseous hemangioma.
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Affiliation(s)
- Roel H L Haeren
- Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.
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Cil Y, Simsek HA, Yıldız H. Primary intraosseous cavernous hemangioma of the toe. Musculoskelet Surg 2011; 97:259-61. [PMID: 22042647 DOI: 10.1007/s12306-011-0168-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2011] [Accepted: 10/18/2011] [Indexed: 11/30/2022]
Abstract
Intraosseous cavernous hemangioma is an uncommon benign vascular tumor. A 21-year-old man presented with a small painless swelling of the left foot's long toe. X-ray examination showed an outgrowing bony lesion that has cortical continuity in the tip of the long toe's distal phalanx lateral aspect. Preoperative examination yielded no final diagnosis. En bloc resection was performed. The histological diagnosis was intraosseous cavernous hemangioma. To the best of our knowledge, this case is a first report of primary intraosseous cavernous hemangioma of the toe.
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Affiliation(s)
- Yakup Cil
- Department of Plastic Surgery, Eskisehir Military Hospital, 26020, Eskisehir, Turkey,
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Eap C, Litre CF, Jazeron JF, Theret E, Duntze J, Patey M, Rousseaux P. [Intradiploic cavernous hemangioma of the calvaria: case report and review of the literature]. Neurochirurgie 2010; 57:42-5. [PMID: 20870256 DOI: 10.1016/j.neuchi.2010.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2009] [Accepted: 07/09/2010] [Indexed: 11/15/2022]
Abstract
We report the case of a 31-year-old patient who had had frontal cephalalgias for several years. CT and MRI anatomical imaging objectified a frontal osteolytic tumor respecting the osseous external table but compressing the superior sagittal sinus. Total en bloc resection of the tumor associated with titan cranioplasty was performed. The postoperative course was uneventful. Three months after surgery the patient no longer reported headache. The anatomical and pathological results concluded in intradiploic cavernous hemangioma. We discuss this case and others described in the literature.
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Affiliation(s)
- C Eap
- Service de neurochirurgie, hôpital Maison-Blanche, CHU de Reims, 45 rue Cognacq-Jay, Reims, France.
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Vega A, De Obieta E, Aguado G, Esqueda M, Ruíz S, Ramirez E, Pérez J. Hemangioma cavernoso multifocal en cráneo. Revisión de un caso. Neurocirugia (Astur) 2010. [DOI: 10.1016/s1130-1473(10)70101-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Adrados de Llano M, Carrasco-Moro R, García-Navarrete E, Navas-García M, García de Sola R. Hemangioma cavernoso intraóseo craneal. Neurocirugia (Astur) 2009. [DOI: 10.1016/s1130-1473(09)70136-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Cosar M, Eser O, Aslan A, Korkmaz S, Boyaci G, Aktepe F. Intradiploic cavernous hemangioma of the skull in a child: a case report. Childs Nerv Syst 2008; 24:975-7. [PMID: 18431554 DOI: 10.1007/s00381-008-0638-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2008] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Intradiploic cavernous hemangioma of the skull is seen rarely. Intradiploic cavernous hemangiomas arise from the intrinsic vasculature of the bone and generally picks up at the fourth and fifth decades. DISCUSSION AND CONCLUSION In this report, we present a 16-year-old child who was admitted with a swelling lesion in the right parietal bone and diagnosed as cavernous hemangioma after total extirpation.
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Affiliation(s)
- Murat Cosar
- Faculty of Medicine, Department of Neurosurgery, Canakkale 18 March University, Canakkale, Turkey.
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