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Published on: October 20, 2017
Congenital cavernous hemangioma of the calvaria. Case report
Murat Vural1, Mustafa F Acikalin, Baki Adapinar
1Department of Neurosurgery, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey. mvural@ogu.edu.tr
Insights
This case report details a rare parietal bone cavernous hemangioma in a 6-month-old infant. Early diagnosis and careful surgical management are crucial to prevent potentially fatal blood loss in infants.
Area of Science:
- Pediatric Surgery
- Neuroradiology
- Pediatric Pathology
Background:
- Calvarial cavernous hemangiomas are exceptionally rare in infants, posing diagnostic and therapeutic challenges.
- This report focuses on a 6-month-old infant presenting with a parietal bone cavernous hemangioma, a lesion with limited prior documentation in this age group.
Observation:
- The case involved a 6-month-old infant with a diagnosed cavernous hemangioma of the parietal bone.
- Radiological, operative, and pathological features of this rare infant calvarial lesion are discussed.
- Previous literature documented only one similar infant case without intracranial invasion.
Findings:
- Cavernous hemangiomas of the calvaria, though rare in newborns, must be considered in the differential diagnosis of infant calvarial lesions.
- The study highlights the critical need for meticulous surgical planning to mitigate excessive blood loss during intervention.
Implications:
- Increased awareness of infant calvarial cavernous hemangiomas can improve diagnostic accuracy.
- Emphasizes the importance of specialized surgical techniques to ensure infant safety during hemangioma removal.
- Contributes to the limited existing literature on pediatric cavernous hemangiomas, aiding future research and clinical practice.
Abstract:
The authors present the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone and discuss the radiological, operative, and pathological features and differential diagnosis of these extremely rare lesions in infants. Only 1 case of an infant with a calvarial cavernous hemangioma without intracranial invasion has previously been reported, and that case involved a 4 month old. Although a cavernous hemangioma of the calvaria is extremely rare in the newborn, this condition should be included in the differential diagnosis of calvarial lesions. During surgical treatment of calvarial cavernous hemangiomas, utmost attention should be paid to avoid blood loss, which could be fatal in infants.

