Tuesday, February 23, 2021

Two-step treatment of a giant skull vault hemangioma: A rare case report and literature review

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Neurocirugia (Astur). 2021 Feb 8:S1130-1473(21)00007-5. doi: 10.1016/j.neucir.2020.12.005. Online ahead of print.

ABSTRACT

Skull vault hemangiomas are benign vascular tumours of the calvaria that are usually asymptomatic or present as firm, painless lumps. We present a case of a 59-year-old female with a giant intraosseous calvarial hemangioma that was admitted in our department with a palpable mass over the left frontoparietal region, personality changes and impaired emotional and cognitive functions. The patient was treated with a two-step approach involving endovascular and surgical treatment, and suffered two rare, but recognized complications, a contrecoup intracerebral haemorrhage and valproate-induced stupor and parkinsonism. At the 6-month follow-up, the patient had complete recovery with a good neurological outcome.

PMID:33573868 | DOI:10.1016/j.neucir.2020.12.005

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