2009
DOI: 10.1055/s-0028-1114294
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Intraosseous Cavernous Angioma of the Petrous Bone

Abstract: Objective: Intraosseous cavernous angioma (CA) of the petrous bone is rare and preoperative diagnosis can be challenging, especially when its epicenter is outside the internal auditory canal (IAC) or geniculate ganglion. Methods: A 45-year-old man presented to our clinic with right-sided hearing loss, tinnitus, and unsteadiness. Neuroimaging revealed a right posterior petrous mass. Aggressive subtotal resection with decompression of the IAC was achieved through a right suboccipital craniotomy. Histopathologica… Show more

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Cited by 10 publications
(24 citation statements)
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“…They occur most frequently in the spine (30 to 50%) and skull (20%), whereas involvement of other sites (such as the long bones, short tubular bones, and ribs) is rare. Histologically, hemangiomas of the bone are classified as cavernous and capillary subtypes 14. The former comprised thin-walled blood vessels that have variable amounts of intervening collagenous fibrosis that may show calcification.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…They occur most frequently in the spine (30 to 50%) and skull (20%), whereas involvement of other sites (such as the long bones, short tubular bones, and ribs) is rare. Histologically, hemangiomas of the bone are classified as cavernous and capillary subtypes 14. The former comprised thin-walled blood vessels that have variable amounts of intervening collagenous fibrosis that may show calcification.…”
Section: Discussionmentioning
confidence: 99%
“…Calvarial cavernous hemangiomas most frequently affect the frontal and parietal bones, but hemangiomas arising from the craniofacial bones (zygoma, maxilla, vomer, and mandible) have been reported as well 349101112131415. In these locations, they typically manifest as painless, progressive facial swelling.…”
Section: Discussionmentioning
confidence: 99%
“…Symptoms were different in clival hemangiomas and petrous bone hemangiomas. Five out of six cases (83%) of clival hemangiomas presented headache as the most common symptom, whereas nine out of 16 (56%) hemangiomas of the petrous bone presented facial paralysis, palsy or weakness and five out of 16 (31%) of them presented with vestibular or hearing symptoms . Our patient showed symptoms related to both locations.…”
Section: Discussionmentioning
confidence: 58%
“…Considering all the reported cases of hemangiomas and IPEH of the petrous bone and the clivus plus our case, 18 out of 23 cases (78%) belonged to women, whereas only five out of 23 (22%) belonged to men . Seventeen out of 20 patients (85%) were older than 17 years at diagnosis, and median age at diagnosis was 49 years. Median age at diagnosis was higher in patients with clival hemangiomas and IPEHs compared to patients with petrous bone hemangiomas and IPEHs, 61 and 42 years, respectively.…”
Section: Discussionmentioning
confidence: 68%
“…Capillary hemangiomas lack fibrous septa, have smaller vessel lumens and mostly are seen in the vertebral column, while cavernous hemangiomas have thin-walled blood vessels and variable amounts of intervening collagenous fibrosis and may show calcification [4,13]. Calvarial hemangiomas present as expansile lesions producing local swelling.…”
Section: Discussionmentioning
confidence: 99%