DOI  10.17613/vzmn-3k42 

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Case Report

Multidisciplinary approach of congenital subgaleal hemangioma in a pediatric patient using percutaneous embolization, surgical resection, and reconstruction with rotational flap.

Pánuco-Romero, Juan de Dios1*; Torres-Suarez, Margarita1; Gomez-Valdes, Omar Antonio1; Pánuco-Romero, Iris Xiomara1; Gil-Parra, Raul1; Bonifacio-Delgadillo, Dulce2.

1. Departamento de Neurocirugía, Hospital Regional “Manuel Cárdenas de la Vega” ISSSTE, Culiacán, Sinaloa, México.

2. Departamento de Terapia Endovascular Neurológica, Centro Médico Nacional “20 de Noviembre” ISSSTE, Ciudad de México, México.

*Correspondence: juandediosr7@gmail.com ORCID: 0009-0005-0044-2030

KEYWORDS: Calvarial Hemangioma, Subgaleal Hemangioma, Surgical Excision, Embolization, Rotational Flap.

ABSTRACT

Hemangiomas are the most common soft tissue tumors of childhood. The parietal and frontal bones are the most common locations. They are often found incidentally in radiological examinations carried out for other reasons. Most bone hemangiomas are cavernous, but rarely contain capillaries. Treatment modalities include complete surgical excision. Radiotherapy is an option for patients where surgery is not possible. Techniques of embolization and injection of intralesional steroids have also been tested. 

CONFLICTS OF INTERESTS

The authors have no conflict of interest

BIBLIOGRAPHY

1- Bastug, D et al. “Hemangiomas in the calvaria: imaging findings.” AJR. American journal of roentgenology vol. 164,3 (1995): 683-7. doi:10.2214/ajr.164.3.7863894

2- Ilyas, M et al. “Classic imaging features of calvarial hemangioma-a case report” The Egyptian Journal of Radiology and Nuclear Medicine, Volume 49, Issue 3, 2018, Pages 663-665, ISSN 0378-603X, https://doi.org/10.1016/j.ejrnm.2018.04.010.

3- Kang, Dong Wan, and Chang Hwa Choi. “A case of calvarial hemangioma in cranioplasty site.” Journal of Korean Neurosurgical Society vol. 46,5 (2009): 484-7. doi:10.3340/jkns.2009.46.5.484

4- Alkan E, Erdogan H, Arslan S, Durmaz MS, Aybay MN, et al. (2018) A Rare, Incidentally Found Lesion: Calvarial Hemangioma. Clin Med Img Lib 4:083. doi.org/10.23937/2474-3682/1510083

5- Kirmani, Altaf Rehman et al. “A unique case of calvarial hemangioma.” Surgical neurology international vol. 7,Suppl 14 S398-401. 3 Jun. 2016, doi:10.4103/2152-7806.183498

6- Bantan, N.A.A., Abouissa, A.H., Saeed, M. et al. A unique case of multiple calvarial hemangiomas with one large symplastic hemangioma. BMC Neurol 21, 29 (2021). https://doi.org/10.1186/s12883-021-02053-7

7- Hak Kim J., Hwan Ahn C., Hee Kim K., Ha Oh S., et al. Multifocal intraosseous calvarial hemangioma misdiagnosed as subgaleal lipoma. Arch Craniofac Surg Vol.20 No.3, 181-185 https://doi.org/10.7181/acfs.2019.00143

8- Maheshwari, Shradha et al. “Atypical subgaleal haemangioma causing calvarial erosion: a case report.” Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery vol. 32,12 (2016): 2475-2478. doi:10.1007/s00381-016-3081-7

9- Brichacek, Michal MD; Naeem, Abdul MD; Filler, Guido MD, FRCPC; Hammond, Robert MD, FRCPC; Yazdani, Arjang MD, FRCSC; Ranger, Adrianna MD, FRCSC. Congenital Calvarial Hemangioma. Journal of Craniofacial Surgery 29(6):p 1625-1628, September 2018. | DOI: 10.1097/SCS.0000000000004613

10- Prasanna GV, Katari UK, Vandanapu SK, Reddy MS, Adusumilli HB. Giant calvarial cavernous hemangioma: A rare case report and review of literature. Asian J Neurosurg 2019;14:578-80. DOI: 10.4103/ajns.AJNS_260_18

11- M. Esteller, N. López, A. Chiandetti, A. Martínez-Roig, Hematoma subgaleal espontáneo como manifestación de una alteración de la función plaquetaria, Anales de Pediatría, Volume 80, Issue 1, 2014, Pages e3-e4, ISSN 1695-4033, https://doi.org/10.1016/j.anpedi.2011.10.020.

12- Brendan C. Stack Jr., Mauricio A. Moreno, Jennings R. Boyette, Emre A. Vural. Matrix Head and Neck Reconstruction. 2023. Matrix Head and Neck Reconstruction. Springer. ISBN 978-3-031-24980-8. https://doi.org/10.1007/978-3-031-24981-5.

13- Krishnan, P., Bhosle, R., Patel, S., Raju, D., Cincu, R., Moscote-Salazar, L. R., Gupta, A. K., & Agrawal, A. (2024). Calvarial hemangiomas: Series of 6 cases and review of literature. World Neurosurgery. X, 23, 100297. https://doi.org/10.1016/j.wnsx.2024.10029