Symptomatic Calvarial Cavernous Hemangioma: Presurgical Confirmation by Scintigraphy

Symptomatic Calvarial Cavernous Hemangioma: Presurgical Confirmation by Scintigraphy

Ajeet Gordhan, John Soliman, Ajay Malpani, Edward Pegg III

Abstract


Hemangiomas are rare tumors in the calvarium and represent 2% of osseous calvarial lesions.  Dynamic Tc-99m RBC blood pool scintigraphy has a high positive predictive value for cavernous hemangiomas of the liver.  This scintigraphic technique can be used for identifying cavernous hemangiomas at other anatomic sites.  We present a case in which a tagged RBC blood pool scan was used for further characterizing a symptomatic calvarial lesion as a cavernous hemangioma. This avoided an unnecessary workup for metastatic disease and was valuable in surgical planning for anticipated increased intra-operative blood loss. Histological confirmation of a cavernous hemangioma was made after surgical resection.


Keywords


Calvarial cavernous hemangioma, RBC tagged scintigraphy



DOI: https://doi.org/10.3941/jrcr.v3i8.278