Skull vault haemangioma

Case contributed by Dr Ahmed Mahrous Saied

Presentation

Patient presenting with slowly growing swelling at the back of her head. Also, recent complain of headache.

Patient Data

Age: 55
Gender: Female
Modality: X-ray

Lateral skull radiograph showing a well defined expansile bony lesion with well defined margins in the occipital bone. The lesion shows multiple parallel internal trabeculations, creating a hair-on-end like appearance.    

Modality: CT

There is a well defined expanding bony lesion of the occipital bone. The lesion is inter-diploic with expansion of the inner and outer tables.  The lesion shows predominantly bony matrix with multiple internal trabeculae. 

Narrow zone of transition is noted. No associated soft tissue component.

No intra-cranial extension, however there is significant mass effect. 

Case Discussion

The above features are highly suggestive of an intra-osseous hemangioma.  

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Case Information

rID: 34132
Case created: 5th Feb 2015
Last edited: 23rd Sep 2015
Inclusion in quiz mode: Included

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