Symptomatic Calvarial Cavernous Hemangioma: Presurgical Confirmation by Scintigraphy

Authors

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

DOI:

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

Keywords:

Calvarial cavernous hemangioma, RBC tagged scintigraphy

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.

Author Biographies

Ajeet Gordhan

Interventional Neuroradiologist, Department of Radiology, OSF St. Joseph Medical Center, Bloomington, IL

John Soliman

BroMenn Regional Medical Center, Department of Neurosurgery,  Neurosurgery Resident

Ajay Malpani

Department of Radiology, OSF St. Joseph Medical Center, Bloomington, IL

Edward Pegg III

Neurology, OSF St. Joseph Medical Center, Bloomington, IL
Review article: Extraspinal findings on lumbar spine MR imaging by Nathalie Gebara et al.

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Published

2009-07-26

Issue

Vol. 3 No. 8 (2009)

Section

Nuclear Medicine / Molecular Imaging

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