Cavernous hemangioma of the parietal bone

Abstract

Patient: Male, 38 FINAL DIAGNOSIS: Cavernous hemangioma Symptoms: Headache • parietal mass

Medication: - Clinical Procedure: - Specialty: Neurosurgery.

Objective: A rare disease.

Background: Bone hemangioma is a vascular hemartoma of bone structures. In general, this pathology is detected on incidentally investigated patients' films. Bone hemangioma is most commonly seen in 4(th) decade of life and the male/female ratio is 1/1.5. The locations of these lesions are commonly long bones of the vertebral column and the skull. Primary bone hemangiomas constitute less than 1% of all bone tumors, and they are seen at 0.2% in the calvarial region.

Case report: Cases with this pathology are seen on incidental radiological evaluations. We report the case of a 38-year-old man with localized headache and a palpable mass in the left parietal region, admitted and operated on after cranial CT and MRI. Pathology investigation revealed a cavernous hemangioma.

Conclusions: We suspected that in our case head trauma may have been the cause of cavernous hemangioma in the calvarial region, because cavernous hemangiomas are rarely located there. Localized headache and minor discomfort can be seen with this pathology. The best treatment for cavernous hemangiomas is the removal of the mass within the limits of safe surgery.

Keywords: cavernous hemangioma; headache; trauma.

Figure 1

Pre op. cranial CT.

Figure 2

Pre op. cranial MRG.

Figure 3

Parietal bone with hemangioma.

Figure 4

Parital bone craniotomy material.

Figure 5

Pathological specimen (hematoxylin and eosin; 200×).

Figure 6

Pathological specimen (hematoxylin and eosin; 200×).