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Updated: Jul 13, 2025
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
3.7K
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.
Neurosciences (Riyadh, Saudi Arabia)
|October 16, 2023
Summary
Aneurysmal bone cysts (ABCs) are rare benign bone lesions. This case highlights a rare skull ABC secondary to osteoblastoma in a child, successfully treated with surgery.
Area of Science:
- Neurosurgery
- Pediatric Oncology
- Orthopedic Surgery
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign vascular bone lesions, predominantly affecting young individuals.
- While often primary, ABCs can arise secondary to other bone pathologies, including osteoblastomas.
- Skull ABCs are exceptionally uncommon and pose significant risks due to potential intracranial extension, leading to complications like hydrocephalus and hemorrhage.
Observation:
- A 9-year-old male presented with symptoms of headache, nausea, and vomiting, with no discernible neurological deficits.
- Radiological imaging revealed a characteristic 'soap-bubble' lesion in the right cerebellum, exerting mass effect.
- The lesion was surgically resected via a right sub-occipital craniotomy with wide marginal excision.
Findings:
- Histopathological examination confirmed the diagnosis of osteoblastoma with features of an aneurysmal bone cyst.
- The surgical intervention resulted in excellent patient outcomes.
Implications:
- This case underscores the importance of considering secondary aneurysmal bone cysts in pediatric patients with intracranial lesions.
- Early diagnosis and surgical management of skull ABCs are crucial for favorable outcomes.
- Further research into the pathogenesis and optimal treatment strategies for secondary ABCs is warranted.
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