Cranial vault cavernous angioma. Case report and a short review
Fernando Martínez, Nicolás Sgarbi, Francisco Garagorry, Martín Fernández
Abstract
Introduction: Cavernous angiomas are relatively common lesions at the bone level, but few cases of this type of lesion have been reported in the cranial vault. Clinical case: A 45-year-old man consulted for cranial pain. On palpation, he noticed a lump in the left parietal region. A CT scan of the skull was performed, which showed a lytic lesion at the parietal level. MRI study was performed and resection was proposed, with the diagnosis of “Skull lytic lesion”. Complete resection of the lesion was performed with bone margin and the bone defect was replaced with acrylic. The result of the pathological anatomy showed a bony cavernoma. Discussion and conclusions: Cavernomas are very rare lesions at the level of cranial bones. Only 7 cases have been reported in the Latin American literature and less than 300 in the world literature. Diagnosis of these lesions is difficult, since lytic lesions of another origin are more frequent. Differential diagnoses include metastasis, lymphoma, aneurysmal bone cyst, sarcomas, intraosseous meningiomas, or dermoid tumors. The ideal treatment is surgery with margin, although in cases of very large or unresectable lesions, pre-surgical embolization and radiotherapy may be considered.
Keywords
References
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Submitted date:
05/16/2025
Accepted date:
05/19/2025
Publication date:
08/26/2025
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