Top

Child's Nervous System

Published in:

01-12-2016 | Case Report

Atypical subgaleal haemangioma causing calvarial erosion: a case report

Authors: Shradha Maheshwari, Eham Arora, Hemantkumar Savant

Published in: Child's Nervous System | Issue 12/2016

Abstract

Background

Infantile haemangiomas are the most common soft tissue tumours of infancy and childhood, with an incidence rate of 4–10 %. These lesions commonly present between 2 and 10 weeks after birth and characteristically involute around 8–10 years of age. Most lesions occurring in the scalp are managed conservatively, with surgery reserved for those with complications.

Case description

A 5-year-old girl presented with a swelling over the left occiput noticed since birth, with a gradual increase in size and rapid progression since the last 1 year. She had undergone six sessions of intralesional steroids over the past 3 years. However, recent MRI and CT scans showed an increase in the swelling size with full-thickness erosion of the underlying calvarium without neuroparenchymal involvement. The patient underwent surgical excision of the lesion with an excellent outcome. Our literature review revealed only a single case of haemangioma which arose from the scalp and caused significant underlying calvarial erosion and intracranial extension.

Conclusion

We present a case of an atypical infantile haemangioma arising in the subgaleal plane causing full-thickness erosion of the underlying calvarium.

S Nandaprasad, P Sharada, M Vidya, B Karkera, M Hemanth, C Kaje (2008) Hemangioma—a review. The Internet Journal of Hematology Volume 6 Number 2.

Jacobs AH (1957) Strawberry hemangiomas: the natural history of the untreated lesion. Calif Med 86(1):8–10PubMedPubMedCentral

Maguiness SM, Frieden IJ (2012) Management of difficult infantile haemangiomas. Arch Dis Child 97:266–271CrossRefPubMed

Lowe LH, Marchant TC, Rivard DC, Scherbel AJ (2012) Vascular malformations: classification and terminology the radiologist needs to know. Semin Roentgenol 47(2):106–117. doi:10.1053/j.ro.2011.11.002 CrossRefPubMed

Lister WA (1938) Natural history of strawberry nevi. Lancet 231(5991):1429–1434CrossRef

Bivings L (1954) Spontaneous regression of angiomas in children: twenty-two years’ observation covering 236 cases. J Pediatr 45(6):643–647CrossRefPubMed

Mulliken JB (1988) Diagnosis and natural history of hemangiomas. In: Mulliken JB, Young AE (eds) Vascular birthmarks: hemangiomas and malformations. WB Saunders, Philadelphia, PA, pp. 41–62

Bowers RE, Graham EA, Tomlinson KM (1960) The natural history of the strawberry nevus. Arch Dermatol 82:667CrossRef

Heckl S, Aschoff A, Kunze S (2002) Cavernomas of the skull: review of the literature 1975-2000. Neurosurg Rev 25:56–62CrossRefPubMed

10.

Bastug D, Ortiz O, Schochet SS (1995) Hemangiomas in the calvaria (imaging findings). AJR Am J Roentgenol 164:683–687CrossRefPubMed

11.

Brucker AL, Frieden (2003) Hemangiomas of infancy. J Am Acad Dermatol 48(4):477–493CrossRef

12.

Fishman SJ, Mulliken JB (1998) Vascular anomalies. A primer for pediatricians. Pediatr Clin N Am 45:1455–1477CrossRef

13.

North PE, Waner M, Mizeracki A (2001) A unique microvascular phenotype shared by juvenile hemangiomas and human placenta. Arch Dermatol 137(5):559–570PubMed

14.

Kanu OO, Ojo OA, Bankole O, Olaniran A, Anunobi C, Arigbabu SO (2012) Calvarial hemangioma causing seizure disorder: a case report with review of literature. Rom Neurosurg XIX 2:120–123

15.

Kaplan PA, Williams SM (1987) Mucocutaneous and peripheral soft-tissue hemangiomas: MR imaging. Radiology 163(1):163–166CrossRefPubMed

16.

Choi JJ, Murphey MD (2000) Angiomatous skeletal lesions. Semin Musculoskelet Radiol 4(1):103–112CrossRefPubMed

17.

Hombal AG, Hegde KK (2006) Giant haemangioma of the scalp—a case report. Indian J Radiol Imaging 16:41–43CrossRef

18.

Aletaha M, Salour H, Bagheri A, Raffati N, Amouhashemi N (2012) Oral propranolol for treatment of pediatric capillary hemangiomas. J Ophthalmic Vis Res 7(2):130–133PubMedPubMedCentral

19.

Yang B, Li L, Zhang LX, Sun YJ, Ma L (2015) Clinical characteristics and treatment options of infantile vascular anomalies. Medicine (Baltimore) 94(40):e1717CrossRef

Title: Atypical subgaleal haemangioma causing calvarial erosion: a case report
Authors: Shradha Maheshwari
Eham Arora
Hemantkumar Savant
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 12/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-016-3081-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Atypical subgaleal haemangioma causing calvarial erosion: a case report

Abstract

Background

Case description

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case description

Conclusion

Please log in to get access to this content

Other articles of this Issue 12/2016

Cauda equina cavernous hemangioma: very rare pediatric case

Mild head injury and attention deficit hyperactivity disorder in children

The first Turkish illustrated surgical textbook ‘Cerrahiyetü’l-Haniyye’

A history of the autonomic nervous system: part I: from Galen to Bichat

Management of nerve compression in multiple hereditary exostoses: a report of two cases and review of the literature

3-T intraoperative MRI (iMRI) for pediatric epilepsy surgery