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Cranial vault unicameral bone cyst.

Archil Eristavi1, Ian Sabin1, Safa Al-Sarraj2

  • 1Neurosurgery Department, The Wellington Hospital, London, UK.

British Journal of Neurosurgery
|January 30, 2019
PubMed
Summary

This study reports the first known case of a unicameral bone cyst (UBC) in the cranial vault of a 53-year-old male. Surgical removal confirmed the diagnosis of this rare benign bone lesion.

Keywords:
Unicameral bone cystcranial vaultcystic lesionsimple bone cyst

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Pathology

Background:

  • Unicameral bone cysts (UBCs), or simple bone cysts, are typically benign, fluid-filled lesions.
  • They most commonly affect long bones in children and adolescents.
  • Cranial vault involvement is exceptionally rare.

Observation:

  • A 53-year-old male presented with an incidental calvarial lesion in the parietal region.
  • The lesion was located superior to the superior sagittal sinus (SSS).
  • Differential diagnoses included arachnoid granulation, hemangioma, giant cell tumor, and tuberculous infection.

Findings:

  • The patient underwent elective surgery for diagnosis and removal.
  • Histopathological analysis confirmed the lesion as a unicameral bone cyst.
  • This represents the first documented instance of a UBC in the cranial vault.

Implications:

  • This case expands the known anatomical distribution of unicameral bone cysts.
  • It highlights the importance of considering UBC in the differential diagnosis of cranial vault lesions.
  • Further research may be needed to understand the etiology of UBC in atypical locations.