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Vol. 33. Issue 3.
Pages 135-140 (May - June 2022)
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Vol. 33. Issue 3.
Pages 135-140 (May - June 2022)
Case Report
Two-step treatment of a giant skull vault hemangioma: A rare case report and literature review
Tratamiento en dos pasos de un hemangioma de la bóveda craneal gigante: informe de un caso poco frecuente y revisión de la literatura
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Evangelos Anagnostou
Corresponding author
anagnostou.evan@gmail.com

Corresponding author.
, Panagiotis Lagos, Sotirios Plakas, Aristotelis Mitsos, Apostolos Samelis
Department of Neurosurgery, 401 General Military Hospital of Athens, Kanellopoulou & Mesogeion Avenue, 11527 Athens, Greece
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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.

Keywords:
Intraosseous hemangioma
Calvarial
Skull vault
Hybrid approach
Embolization
Resumen

Los hemangiomas de la bóveda craneal son tumores vasculares benignos de la calota que suelen ser asintomáticos o aparecen como bultos firmes e indoloros. Presentamos el caso de una mujer de 59 años con un hemangioma de calota intraóseo gigante que ingresó en nuestra unidad con una masa palpable en la región frontoparietal izquierda, con cambios de personalidad y con la alteración de las funciones emocional y cognitiva. La paciente recibió tratamiento con un método de dos pasos que incluía terapia endovascular y quirúrgica, y experimentó dos complicaciones poco frecuentes, pero reconocidas: hemorragia cerebral por contragolpe, así como estupor y parkinsonismo inducidos por valproato. A los seis meses de seguimiento, la mujer se recuperó por completo con un buen desenlace neurológico.

Palabras clave:
Hemangioma intraóseo
Calota
Bóveda craneal
Método híbrido
Embolización

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