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Updated: May 8, 2026
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Cranio-orbital primary intraosseous haemangioma
T Gupta1, G E Rose, M Manisali
1Adnexal Department, Moorfields Eye Hospital, London, UK.
Eye (London, England)
|August 31, 2013
Summary
Cranio-orbital intraosseous haemangioma (IOH) is a rare tumor. This case series highlights its rarity, diagnostic challenges, and surgical management, emphasizing preoperative embolization to mitigate bleeding risks.
Area of Science:
- Neurosurgery
- Ophthalmology
- Pathology
Background:
- Primary intraosseous haemangioma (IOH) is a rare benign neoplasm typically affecting the spine and skull.
- Orbital involvement of IOH is exceptionally uncommon, with limited case documentation.
Observation:
- This study presents the largest case series to date, detailing six patients with cranio-orbital IOH.
- Patients presented with symptoms including pain and diplopia, with a median age of 56.
- Characteristic 'honeycomb' CT imaging findings were observed in some cases.
Findings:
- Histopathological analysis confirmed cavernous vascular spaces within bony tissue, lined by normal endothelial cells.
- Complete surgical excision was the primary management strategy.
- Preoperative embolization was employed in one case to manage potential intraoperative hemorrhage.
Implications:
- Cranio-orbital IOH requires consideration in the differential diagnosis of orbital tumors, especially when typical imaging features are absent.
- Surgical intervention is crucial for definitive diagnosis and to rule out more aggressive pathologies.
- Preoperative embolization is a valuable adjunct for reducing surgical risks associated with highly vascular lesions.
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