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Updated: Jul 13, 2025
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Large skull osteoblastoma presented as aneurysmal bone cyst (ABC)
Badriah M Alsabbagh1, Awn Alessa1, Hanan Aljohani1
1From the Department of Neurosurgery (Alsabbagh, Alessa, Aljohani), King Saud Medical City, from the Department of Neurosurgery (Alhammad), King Faisal Specialist Hospital & Research Centre Riyadh, Kingdom of Saudi Arabia.
Abstract:
Aneurysmal bone cysts (ABCs) are rare benign vascular bony lesions mostly encountered in young patients. These cysts can occur as primary lesions or, less frequently, secondary to other pathologies such as osteoblastomas. Skull ABCs are rare and can extend intracranially, presenting with hydrocephalus and bleeding. Here we illustrate the case of a 9-year-old male who presented with headache, nausea, and vomiting, without neurological deficit. Radiological investigations showed a soap-bubble lesion with mass effect over the right cerebellum. The patient underwent right sub-occipital craniotomy with marginal wide resection of the cystic lesion. The patient had excellent outcomes. The histopathological report was consistent with osteoblastoma with an aneurysmal bone cyst.
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