Kang Dong Wan, Choi Chang Hwa
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
J Korean Neurosurg Soc. 2009 Nov;46(5):484-7. doi: 10.3340/jkns.2009.46.5.484. Epub 2009 Nov 30.
It is not uncommon for hemangiomas to occur in the calvarium, accounting for about 10% of the benign skull tumors. A 46-year-old man was presented with a palpable scalp mass on the left parietal region. Past medical history indicated that he had undergone cranioplasty 25 years prior due to a depressed skull fracture suffered from a traffic accident. Magnetic resonance imaging revealed mixed signal intensity mass on T1 -and T2-weighted images pushing a linear signal void lesion outward in the left parietal region. After total surgical removal along with cranioplasty, he was discharged without neurological deficits. Histological examination of the surgical specimen revealed a cavernous hemangioma. A skull hemangioma occurring at the site of a cranioplasty has not yet been reported. Therefore, authors report this case in combination with a pertinent literature review.
血管瘤发生于颅骨并不罕见,约占颅骨良性肿瘤的10%。一名46岁男性,左顶叶区域可触及头皮肿物。既往病史显示,他25年前因交通事故导致颅骨凹陷性骨折而接受了颅骨成形术。磁共振成像显示左顶叶区域T1加权像和T2加权像上有混合信号强度肿物,将线性信号空洞病变向外推移。在完整手术切除并进行颅骨成形术后,他出院时无神经功能缺损。手术标本的组织学检查显示为海绵状血管瘤。颅骨成形术部位发生颅骨血管瘤尚未见报道。因此,作者结合相关文献回顾报道此病例。