Skull vault osteoma
Citation, DOI & article data
Osteomas are more common in middle-aged men 1,3.
Skull vault osteomas are typically asymptomatic but may present as painless, slow-growing masses or with compressive symptoms 2,4.
Skull vault osteomas are juxtacortical in location and can be sessile or pedunculated and arise from the outer table (most commonly), intradiploic space, or inner table 1. They can extend into the paranasal sinuses but do not cross cranial sutures 1. Most commonly, they occur in the frontal and parietal bones 4.
- Gardner syndrome if multiple skull vault osteomas are present 1,3
See main article: Osteoma for further details.
- calcified meningiomas can mimic pedunculated inner table osteomas 3
Treatment and prognosis
No treatment is required if asymptomatic. Symptomatic osteomas are typically surgically excised 4.
- 1. Lucie Colas, Sabine Caron, Anne Cotten. Skull Vault Lesions: A Review. (2015) American Journal of Roentgenology. 205 (4): 840-7. doi:10.2214/AJR.14.13415 - Pubmed
- 2. Albert Pons Escoda, Pablo Naval Baudin, Paloma Mora, Mònica Cos, Javier Hernandez Gañan, José A. Narváez, Carles Aguilera, Carles Majós. Imaging of skull vault tumors in adults. (2020) Insights into Imaging. 11 (1): 1. doi:10.1186/s13244-019-0820-9 - Pubmed
- 3. Gomez CK, Schiffman SR, Bhatt AA. Radiological review of skull lesions. (2018) Insights into imaging. 9 (5): 857-882. doi:10.1007/s13244-018-0643-0 - Pubmed
- 4. Kakkar A, Nambirajan A, Suri V, Sarkar C, Kale SS, Singh M, Sharma MC. Primary Bone Tumors of the Skull: Spectrum of 125 Cases, with Review of Literature. (2016) Journal of neurological surgery. Part B, Skull base. 77 (4): 319-25. doi:10.1055/s-0035-1570347 - Pubmed