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Cavernous haemangioma of the temporal bone
D S Buchanan1, P A Fagan, J Turner
1Department of Otolaryngology, St Vincent's Hospital, Sydney, Australia.
The Journal of Laryngology and Otology
|December 1, 1992
Summary
A rare, large temporal bone hemangioma in a child was successfully treated. Red Blood Cell scans can identify hemangiomas, avoiding risky biopsies.
Area of Science:
- Otolaryngology
- Neurosurgery
- Pediatric Oncology
Background:
- Cavernous hemangiomas of the temporal bone are uncommon and typically small.
- This case involves a large, rapidly growing temporal bone hemangioma in a pediatric patient.
Observation:
- Initial angiography was negative, prompting a biopsy which resulted in significant hemorrhage.
- A subsequent Red Blood Cell (RBC) labeled scan revealed blood pooling within the lesion.
Findings:
- The combination of negative angiography and positive RBC scan indicates a lesion with significant blood pooling.
- This diagnostic approach can help avoid hazardous biopsies in similar cases.
Implications:
- The study highlights the utility of RBC scans in diagnosing temporal bone hemangiomas.
- Surgical resection via a skull base, infratemporal approach achieved minimal morbidity and no recurrence.
- This case provides valuable insights for managing rare pediatric temporal bone vascular lesions.