The first case of cranial cavernous hemangioma was described by Toynbee in 1845. Since then, most of the publications in the scientific literature have been presented in a single clinical case format, with the exception of two reviews of extensive casuistry that constitute the main references on this entity. PICHs of the skull are rare benign vascular tumors, accounting for about 0.2% of all tumors and 10% of benign tumors of the skull. They occur most frequently in the spine and rarely in the skull. Of the 93 cases of cranial PICH reported in the lit- erature from 1845 to 2015, 44.1% were located in the frontal bone, 12.9% in the temporal bone, 11.8% occurred in the occipital bone, 12, 9% in the parietal, and 5.4% in the cranial fossa; fewer cases have been reported in sphen- oid, zygomatic, ethmoid, clivus, and orbital, etc. In the review carried out by Wyke, this distribution is sup- ported.
Author(s) Details:
Alejandra Arévalo Sáenz
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Borja Ferrández Pujante
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Fernando J. Rascón-Ramírez
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Recent Global Research Developments in Cavernous Hemangioma of the Skull
Cavernous Sinus Hemangioma:
A systematic review and pooled analysis of cavernous sinus hemangiomas (CSHs) highlighted the clinical features, diagnostic modalities, management, and outcomes. The study found that radiosurgery offered the best outcomes in terms of symptom resolution and post-treatment complications [1] .
Diffuse Cavernous Hemangioma Misdiagnosed:
A case report discussed a diffuse cavernous hemangioma of the skull misdiagnosed as skull metastasis in a breast cancer patient. The study emphasized the importance of pathological evaluation for accurate diagnosis and suggested radiotherapy as a beneficial treatment when surgery is not feasible [2] .
Intraosseous Cavernous Hemangioma:
This article described three patients with intraosseous cavernous hemangioma of the skull, discussing the clinical and radiological features of this rare tumor. The study provided insights into the presentation and management of these lesions [3] .
Growing Skull Hemangioma:
A unique case report of a rapid-growing skull hemangioma in a patient with Klippel–Trénaunay–Weber syndrome was presented. The report highlighted that not all rapid-growing, osteolytic skull lesions are malignant and stressed the need for histopathological verification [4] .
Clinical Case Presentation:
An article reviewed 93 cases of cranial primary intraosseous cavernous hemangiomas (PICHs) reported from 1845 to 2015. It detailed the distribution of these tumors across different skull bones and provided a comprehensive overview of their clinical characteristics [5] .
References
- Osunronbi, T., May Myat Noe Pwint, P., Usuah, J. et al. Cavernous sinus haemangioma: systematic review and pooled analysis relating to a rare skull base pathology. Neurosurg Rev 45, 2583–2592 (2022). https://doi.org/10.1007/s10143-022-01796-2
- Liu, H., Chang, X., Shang, H. et al. Diffuse cavernous hemangioma of the skull misdiagnosed as skull metastasis in breast cancer patient: one case report and literature review. BMC Cancer 19, 172 (2019). https://doi.org/10.1186/s12885-019-5341-x
- Cervoni, L., Artico, M. & Delfini, R. Intraosseous cavernous hemangioma of the skull. Neurosurg. Rev. 18, 61–64 (1995). https://doi.org/10.1007/BF00416480
- van der Loo, L.E., Beckervordersandforth, J., Colon, A.J. et al. Growing skull hemangioma: first and unique description in a patient with Klippel–Trénaunay–Weber syndrome. Acta Neurochir 159, 397–400 (2017). https://doi.org/10.1007/s00701-016-3012-0
- Sáenz, A.A., Porto, N.F. & Sánchez, M.P. Intraosseous cavernous hemangioma: presentation of a clinical case. Egypt J Neurosurg 33, 22 (2018). https://doi.org/10.1186/s41984-018-0018-3
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