Skull vault hemangioma

Case contributed by Salman Mirza
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 30 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial bone
window
This study is a stack
Sagittal
bone window
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Info

An expansile lesion in the occipital bone with a characteristic sunburst pattern of trabecular thickening. Erosions of both internal and external plates with associated internal and external tumor expansion.

mri
This study is a stack
Axial
T2
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
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Info

T2 shows hyperintense signal of the skull vault lesion.

T1 C+ shows enhancement of the lesion with epidural and subgaleal components.

Case Discussion

Skull vault hemangioma are benign, slow-growing, generally asymptomatic, vascular neoplasms. They represent 10% of benign neoplasms of the skull.

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