Intracranial capillary hemangioma: A description of four cases

Roberta Morace, Alessandra Marongiu, Tommaso Vangelista, Vittorio Galasso, Claudio Colonnese, Felice Giangaspero, Gualtiero Innocenzi, Vincenzo Esposito, Giampaolo Cantore

Research output: Contribution to journalArticle

Abstract

Objective: Capillary hemangiomas are benign vascular lesions involving the skin and soft tissues that commonly occur at birth or an early age. Intracranial capillary hemangiomas are extremely rare; only 14 cases have been reported the literature. Case Description: We describe four patients with capillary hemangiomas. In two of these patients the lesions arose from the cavernous sinus. In the third patient, a large capillary hemangioma arising from the middle cranial fossa extended into the infratemporal fossa. The fourth patient had a left hemorrhagic temporoparietal capillary hemangioma. Results: The first two patients underwent a partial resection, followed by radiotherapy. Local tumor control was achieved in both cases, as shown by the follow-up magnetic resonance imaging. In the third patient the lesion was subtotally removed after embolization. Radiotherapy, performed one year after surgery because of recurrence, allowed tumor control. In the fourth patient surgical removal was total and no adjuvant radiotherapy was required after surgery; follow-up magnetic resonance imaging did not show any recurrence at the one-year follow-up. Conclusion: Surgery is an option for symptomatic intracranial capillary hemangiomas. However, because partial removal is associated with a high recurrence rate, capillary hemangiomas that cannot be removed radically should be treated with radiotherapy, which offers the possibility of controlling lesion size and preventing tumor recurrence.

Original languageEnglish
JournalWorld Neurosurgery
Volume78
Issue number1-2
DOIs
Publication statusPublished - Jul 2012

    Fingerprint

Keywords

  • Capillary hemangioma
  • Cavernous sinus
  • Middle cranial fossa
  • Radiotherapy
  • Surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this