Primary Intraosseous Skull Base Cavernous Hemangioma: Case Report

James K. Liu; Peter C. Burger; H. Ric Harnsberger; William T. Couldwell

doi:10.1055/s-2004-817698

Skull Base, Table of Contents

Skull Base 2003; 13(4): 219-228
DOI: 10.1055/s-2004-817698

CASE REPORT

Primary Intraosseous Skull Base Cavernous Hemangioma: Case Report

James K. Liu¹ , Peter C. Burger² , H. Ric Harnsberger³ , William T. Couldwell¹

¹Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, Utah
²Department of Pathology, The Johns Hopkins Hospital, Baltimore, Maryland
³Department of Radiology, University of Utah School of Medicine, Salt Lake City, Utah

Abstract

ABSTRACT

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.

KEYWORDS

Cavernous hemangioma - skull base - intraosseous tumor

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References

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