CC BY-NC-ND 4.0 · J Neurol Surg Rep 2022; 83(03): e72-e76
DOI: 10.1055/s-0042-1750366
Original Article

Surgical Management of a Massive Frontal Bone Hemangioma: Case Report

Cylaina E. Bird
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
Jeffrey I. Traylor
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
Zachary D. Johnson
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
Jun Kim
2   Department of Neurosurgery, Westmead Hospital, Westmead, Sydney, Australia
Jack Raisanen
3   Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
Babu G. Welch
1   Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
Kalil G. Abdullah
4   Department of Neurosurgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
› Author Affiliations
Funding This research was funded by the Eugene P. Frenkel, M.D. Scholar in Clinical Medicine Endowment (to K.G.A.). The University of Texas Southwestern Medical Center – Dallas holds a Physician-Scientist Institutional Award from the Burroughs Wellcome Fund (to C.E.B.).


Intraosseous hemangiomas are rare, benign tumors that can arise from the calvarium. These lesions often invade the outer table of the skull, but typically spare the inner table and intracranial structures. En bloc surgical resection is the standard treatment for intraosseous hemangiomas. However, a piecemeal resection may be required to safely remove the tumor in cases involving the inner table to protect the underlying brain parenchyma and vascular structures. Proper reconstruction is critical to optimize the cosmetic outcome, and a staged procedure allowing implantation of a custom-made implant can be considered for large lesions involving the forehead. We present a case of a patient with a large frontal intraosseous hemangioma with intradural involvement to highlight the surgical nuances of resection and review the existing literature regarding optimal management of these patients.

Publication History

Received: 18 May 2021

Accepted: 29 March 2022

Article published online:
10 July 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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