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Dumbbell shaped craniorbital cavernous hemangioma.

Published version
Peer-reviewed

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Authors

Qin, Xingping 
Akter, Farhana 
Qin, Lingxia 
Xie, Qiurong 
Li, Yanfei 

Abstract

BACKGROUND: Cavernous hemangioma of the orbit is a benign tumor mostly located behind the eye globe, but it rarely spread into the brain, which is called cerebral cavernous malformation as well, the lesion in the brain is irregular and enlarged blood. Here we report one particular case of craniorbital cavernous hemangioma. CASE PRESENTATION: A 53-year-old woman presented with exophthalmos of the right eye and reduced vision. Computerized tomographical (CT) scan showed osteolytic honeycomb radial changes of the outer plate of the skull. A magnetic resonance imaging (MRI) scan was performed to obtain further details. T1-weighted (T1W) imaging showed slightly low signal mixed with small patchy high signal. T2-weighted (T2W) imaging showed uneven high signal. There was obvious enhancement in the middle and no enhancement in the peripheral bars. A surgically manage was performed using a left frontotemporal approach, the tumor excised fully, and the histopathology results revealed a cavernous hemangioma. The patient recovered well in the follow-up. Post-operative CT scan identified the lesion was successfully resected, MRI scan also showed full resection and enhanced signal from the presence of fat. CONCLUSIONS: Craniorbital cavernous hemangioma is uncommon, however within the cranium, they can lead to numerous complications particularly if affecting the visual apparatus. it could be diagnosed by imaging, which CT scan shows osteolytic honeycomb radial changes of the outer plate of the skull, T1W imaging shows slightly low signal mixed with small patchy high signal, T2W imaging shows uneven high signal, it is obvious enhancement in the middle and no enhancement in the peripheral bars. The surgically manage is the ideally treatment when there are some symptoms.

Description

Keywords

Cavernous hemangioma, Craniorbital tumor, Orbit, Sphenoid, Female, Hemangioma, Cavernous, Humans, Magnetic Resonance Imaging, Middle Aged, Orbit, Tomography, X-Ray Computed

Journal Title

BMC Neurol

Conference Name

Journal ISSN

1471-2377
1471-2377

Volume Title

20

Publisher

Springer Science and Business Media LLC
Sponsorship
Wuhan University (2042019kf0095)