临床外科杂志 ›› 2026, Vol. 34 ›› Issue (3): 315-316.doi: 10.3969/j.issn.1005-6483.20250121

• 临床病例报道 • 上一篇    下一篇

原发性额骨海绵状血管瘤误诊为颅骨嗜酸性肉芽肿一例

郭桐萁 吴新宇 王志超 高林 李付勇   

  1. 110000 辽宁沈阳,中国医科大学人民医院神经外科
  • 出版日期:2026-05-08 发布日期:2026-05-08
  • 通讯作者: 李付勇,Email:Lifuyong126@126.com
  • 基金资助:
    2023年辽宁省博士科研启动基金项目(2023-BSBA-178)

A case of primary frontal spongyhemangioma was misdiagnosed as eosinophilic granuloma of skull

GUO Tongqi,WU Xinyu,WANG Zhichao,GAO Lin,LI Fuyong   

  1. Department of Neurosurgery,the People's Hospital of China Medical University,Shenyang 110000,China
  • Online:2026-03-20 Published:2026-05-08

摘要: 颅骨海绵状血管瘤是一种罕见的颅骨良性肿瘤,常无典型的临床表现或仅表现为局灶性压痛,偶可见头痛、神经功能障碍及癫痫等压迫症状。头部CT检查表现为局部膨胀性或溶解性病变,其内密度减低,骨小梁稀疏,易误诊为颅骨嗜酸性肉芽肿。颅骨海绵状血管瘤术中出血风险较大,术前鉴别诊断、减少误诊至关重要。

关键词: 海绵状血管瘤; 嗜酸性肉芽肿; 颅骨修补

Abstract: Cavernoushemangioma of the skull is a rare benign tumor of the skull.It usually has no typical clinical manifestations or only presents with focal tenderness.Occasionally,headache,nerve dysfunction and epilepsy can be seen.Head CT showed local swelling or lytic lesions with reduced internal density and sparse bone trabeculae,which was easily misdiagnosed as eosinophilic granuloma of the skull.The risk of intraoperative hemorrhage in cavernous hemangioma of skull is high,so preoperative differential diagnosis is very important.

Key words: cavernous hemangioma; eosinophilic granuloma; cranioplasty

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