Scalp hemangioma

Case contributed by Dr Mostafa El-Feky

Presentation

Left supra-orbital progressive swelling since birth.

Patient Data

Age: 4 months
Gender: Female
MRI

A scalp swelling is noted in the left supra-orbital region showing the following :

  • ovoid shape with smooth regular walls measuring 1.3 x 2.5 cm
  • isointense on T1, mildly hyperintense on T2 and FLAIR
  • moderate diffuse almost homogenous post-contrast enhancement
  • supplied by dilated branches from supraorbital artery
  • drained by scalp veins
  • no intra-orbital extension, normal left globe
  • normal underlying frontal bone, no intracranial extension
  • no diffusion restriction

Mega cisterna magna is noted.

Case Discussion

Left scalp lesion in supra-orbital region with imaging features suggesting infantile hemangioma. Typically it appears as a slowly growing mass lesion with delayed homogeneous post-contrast enhancement.

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Case information

rID: 73687
Published: 19th Feb 2020
Last edited: 20th Feb 2020
System: Paediatrics
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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