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Case report: Periorbital intraosseous hemangiomas
Fabrício Guimarães Gonçalves1, Juan Pablo Ovalle Rojas, Prasad Baladev Hanagandi
1Department of Neuroradiology, Montreal General Hospital, McGill University Health Center, Canada.
The Indian Journal of Radiology & Imaging
|January 7, 2012
Summary
Intraosseous hemangiomas, rare vascular tumors of facial bones, often show a characteristic "sunburst" pattern on imaging. Surgical intervention is typically reserved for symptomatic cases of these benign growths.
Area of Science:
- Vascular Malformations
- Head and Neck Surgery
- Radiology
Background:
- Intraosseous hemangiomas are benign vascular tumors arising within bone.
- Facial bone involvement is uncommon, with predilection for zygoma, maxilla, mandible, and nasal bones.
- Diagnosis can often be made non-invasively via characteristic imaging findings.
Observation:
- This study presents five cases of periorbital intraosseous hemangiomas.
- The typical "sunburst" appearance on CT and MRI is highlighted.
- The rarity of these lesions in the facial skeleton is emphasized.
Findings:
- A "sunburst" pattern on CT and MRI can obviate the need for biopsy.
- Symptomatic presentation is the primary indication for surgical management.
- Periorbital intraosseous hemangiomas are rare but distinct entities.
Implications:
- Non-invasive diagnosis reduces patient morbidity.
- Understanding typical imaging patterns aids in accurate diagnosis and management planning.
- Further case studies contribute to the literature on rare facial bone hemangiomas.
