De novo development of intraosseous cavernous hemangioma.
Intraosseous cavernous hemangiomas are rare and not often multifocal. De novo development of a skull cavernous hemangioma has not been described previously. We present a 20-year-old man who was operated upon for a skull cavernoma in the right frontal area and developed a new lesion 3 years later in the right occipital region. The first lesion was removed completely and the postoperative course was uneventful. Histology showed an intraosseous cavernous hemangioma. MRI follow-up revealed a new lesion in the right occipital region. At the time of the first operation this lesion was not seen on CT or MRI scan. Surgical removal was performed and histology again showed a cavernous hemangioma. The patient seems to be unique and it is important to keep young patients with the diagnosis of cavernous hemangioma under close follow-up. This supports the experience from parenchymatous cavernous hemangiomas that this malformation may become a dynamic disease.
Buhl
Ralf
R
Department of Neurosurgery, University of Schleswig Holstein, Schittenhelmstr. 10, 24105 Campus Kiel, Germany. buhlr@nch.uni-kiel.de
Barth
Harald
H
Dörner
Lutz
L
Nabavi
Arya
A
Rohr
Axel
A
Mehdorn
H Maximilian
HM
D000328:Adult; D005624:Frontal Bone / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006392:Hemangioma, Cavernous / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016609:Neoplasms, Second Primary / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009777:Occipital Bone / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D012888:Skull Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed