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Related Experiment Videos

Multiple congenital cranial hemangiomas.

George Koulouris1, Padma Rao

  • 1Department of Radiology, The Alfred Hospital, Commercial Road, 3181, Prahran, Victoria, Australia. drgeorgek@mbox.com.au

Skeletal Radiology
|February 22, 2005
PubMed
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Multiple congenital hemangiomas of the skull and skull base are rare. This case highlights characteristic radiological and clinical findings for accurate diagnosis and successful conservative management of these vascular lesions.

Area of Science:

  • Vascular Malformations
  • Pediatric Radiology
  • Neurosurgery

Background:

  • Cranial hemangiomas are common, but congenital and multiple presentations are rare.
  • Congenital calvarial hemangiomas are often asymptomatic and underdiagnosed due to lack of imaging.
  • Osseous hemangiomas are frequent and should be considered in differential diagnoses of hypervascular lesions.

Observation:

  • A case of a 4-day-old infant with multiple congenital hemangiomas involving the calvarium and skull base (zygoma, maxilla, frontal, petrous, and temporal bones).
  • Radiological diagnosis of cavernous-type hemangiomas was confirmed by surgical biopsy.
  • Concomitant multiple subcutaneous capillary-type hemangiomas were clinically identified.

Findings:

  • The patient had no identifiable clinical syndrome or chromosomal abnormality.

Related Experiment Videos

  • Cerebral parenchyma was normal with no intra-axial involvement.
  • Conservative treatment led to complete resolution of two lesions and significant decrease in size and enhancement of two others.

    • Implications:

    • This is the first reported case of multiple congenital hemangiomas affecting both the calvarium and skull base.
    • Characteristic radiological and clinical features enabled accurate preoperative diagnosis.
    • Osseous hemangiomas are important considerations in the differential diagnosis of multiple hypervascular lesions across various ages and anatomical sites.