Occipital Intraosseous Hemangioma over Torcula: Unusual Presentation with Raised Intracranial Pressure

World Neurosurg. 2017 Dec:108:999.e1-999.e5. doi: 10.1016/j.wneu.2017.09.095. Epub 2017 Sep 22.

Abstract

Background: Hemangiomas of the bone are benign, uncommon, slow-growing lesions accounting for <1.0% of all bony neoplasms. Intraosseous occipital hemangiomas are rare, and occipital hemangiomas presenting with features of raised intracranial tension are, with only 2 cases reported to date.

Case description: In this case report, we describe the unique case of a 30-year-old male patient presenting with raised intracranial pressure due to venous obstruction at the torcula. The patient underwent excision of the lesion and became symptom free.

Conclusions: Although these are benign lesions, they can have a varied clinical presentation. An understanding of the different clinical presentations and surgical nuances in excising such tumors can lead to early diagnosis and good patient outcome.

Keywords: Hemangioma; Intracranial pressure; Occipital bone; Torcula.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Angiography
  • Cranial Sinuses / diagnostic imaging*
  • Diplopia / etiology
  • Headache / etiology
  • Humans
  • Intracranial Hypertension / diagnostic imaging*
  • Intracranial Hypertension / etiology
  • Intracranial Hypertension / surgery
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Occipital Bone / diagnostic imaging*
  • Occipital Bone / pathology
  • Occipital Bone / surgery
  • Phlebography
  • Skull / abnormalities*
  • Skull / diagnostic imaging
  • Skull / pathology
  • Skull / surgery
  • Spine / abnormalities*
  • Spine / diagnostic imaging
  • Spine / pathology
  • Spine / surgery
  • Tomography, X-Ray Computed
  • Vascular Malformations / complications
  • Vascular Malformations / diagnostic imaging*
  • Vascular Malformations / pathology
  • Vascular Malformations / surgery

Supplementary concepts

  • Vascular Malformation, Primary Intraosseous