Sphenoid wing hemangioma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Left eye proptosis.

Patient Data

Age: 30 years
Gender: Female
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A well-delineated expansile bony lesion involving the left greater sphenoid wing and the orbital roof which demonstrates spongy, striated trabeculations, and a characteristic "sunburst" pattern. Associated with compression of the left lateral rectus muscle and left eye proptosis. No periosteal reaction or extra-osseous soft tissue components.

Case Discussion

Skull vault hemangiomas (SVH) are benign slow-growing vascular lesions affecting the skull diploe in any location.

Radiological findings present an expansile bone lesion with a characteristic sunburst pattern and striated trabecular thickening radiating from a common center.

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