A Case of Scalp Cavernous Hemangioma Simulating Sinus Pericranii

Arita Kazunori

Uozumi Tohru

Kuwabara Satoshi

Kiya Katsuzo

Sumida Masayuki

Iida Koji

Zainal-Muttaqin

Monden Shuji

Miyamoto Yoshihiro

Hiroshima Journal of Medical Sciences

[PISSN] 0018-2052

[EISSN] 2433-7668

[NCID] AA00664312

The authors report a case of cavernous hemangioma in the occipital region, which resembled sinus pericranii, protruded in the recumbent posture. A 28-year-old male was admitted with a chief complaint of an occipital fluctuating mass, 5cm in diameter, accompanied by slight pain. The skull X-P was normal. A direct puncture revealed that the lesion was a blood cyst. A cystogram by percutaneous needle puncture revealed paramedian blood pooling with some draining veins but did not show any transcranial communicating vessels. A T2 weighted MR image demonstrated a well demarcated high intensity lesion just beneath the corium. The subtotally removed specimen turned out to be a cavernous hemangioma.　　

We discerned a conceptual confusion of pseudosinus pericranii with scalp cavernous hemangioma, based on the literature review. And we propose that scalp cavernous hemangioma, even if it changes its size accordimg to posture, should not be simply designated as sinus pericranii.

Cavernous hemangioma

Scalp

Sinus pericranii

Magnetic resonance imaging

Medical sciences [ 490 ]

eng

Hiroshima University Medical Press

[ISSN] 0018-2052

[NCID] AA00664312

[PMID] 1572806