Gottfried Oren N, Gluf Wayne M, Schmidt Meic H
Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA.
Neurosurg Focus. 2004 Oct 15;17(4):ECP1. doi: 10.3171/foc.2004.17.4.7.
Cavernous hemangioma of the calvaria is a very rare disease, and patients usually present with headaches or a visible skull deformity. Few reports of patients presenting with intradiploic or epidural hemorrhages are found in the literature. No case of an intradural hemorrhage from a cavernous hemangioma of the skull has been reported to date. The authors present the case of a 50-year-old man in whom a symptomatic subdural hematoma (SDH) resulting from a cavernous hemangioma of the calvaria had hemorrhaged and eroded through the inner table of the skull and dura mater. The patient underwent surgery for evacuation of the SDH and resection of the calvarial lesion. Postoperatively, the patient experienced immediate relief of his symptoms and had no clinical or radiological recurrence. Calvarial cavernous hemangiomas should be considered in the differential diagnosis of nontraumatic SDHs. Additionally, skull lesions that present with intracranial hemorrhages must be identified and resected at the time of hematoma evacuation to prevent recurrences.
颅骨海绵状血管瘤是一种非常罕见的疾病，患者通常表现为头痛或可见的颅骨畸形。文献中很少有关于患者出现板障内或硬膜外出血的报道。迄今为止，尚未有颅骨海绵状血管瘤引起硬膜内出血的病例报道。作者报告了一例50岁男性患者，其因颅骨海绵状血管瘤导致的有症状的硬膜下血肿（SDH）出血并侵蚀穿过颅骨内板和硬脑膜。患者接受了SDH清除术和颅骨病变切除术。术后，患者症状立即缓解，无临床或影像学复发。在非创伤性SDH的鉴别诊断中应考虑颅骨海绵状血管瘤。此外，出现颅内出血的颅骨病变必须在血肿清除时予以识别并切除，以防止复发。
