British journal of neurosurgery
December 21, 2025 · via Europe PMC
Intraosseous anastomosing haemangioma of the skull: a case report.
Hon JJ, Agarwal A, Tirabosco R, Lawrence A, Nair R, Das JM.
AI summary — for doctors, generated from the abstract only
A case report describes a rare benign vascular tumor of the skull (anastomosing hemangioma) causing transient stroke-like symptoms in a young man, successfully treated with complete surgical removal and cranioplasty with no recurrence during follow-up.
What was studied
A single case report of a 30-year-old man who presented with transient right-sided weakness and slurred speech lasting about 30 minutes, found to have a large skull-based mass causing local mass effect, treated with simultaneous craniotomy, gross-total tumor resection, and cranioplasty, with final diagnosis of an intraosseous anastomosing hemangioma.
Key findings
- The patient presented with transient right-sided hemiparesis and dysarthria lasting approximately 30 minutes, with neuroimaging showing a large extra-axial mass in the left frontoparietal skull region.
- Gross-total resection of the tumor was achieved along with cranioplasty in a single surgery.
- The patient recovered well postoperatively with no further neurological symptoms during follow-up; the authors note margin involvement necessitates close ongoing follow-up.
Clinical relevance
The findings suggest that anastomosing hemangioma, though exceedingly rare, should be considered in the differential diagnosis of vascular bone tumors of the skull presenting with neurological symptoms, and that complete surgical excision is the treatment of choice, informing diagnostic and management approach for this uncommon entity.
Who should care
Limitations
This is a single case report, so the presentation, treatment approach, and favorable outcome described cannot be generalized to other patients with this rare tumor.
A rare skull-based vascular tumor (anastomosing hemangioma) causing transient stroke-like symptoms was successfully treated with complete surgical removal and cranioplasty in this case report, with no recurrence during follow-up.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Introduction
Anastomosing haemangiomas are rare benign vascular tumours. Their occurrence within the skull is exceptionally rare, with few documented cases in the literature.
Case report
We present a case of a large intraosseous anastomosing haemangioma arising from the skull vault with associated neurological symptoms. A 30-year-old male presented with transient right-sided hemiparesis and dysarthria lasting approximately 30 minutes. Neuroimaging revealed a large extra-axial mass in the left frontoparietal region causing local mass effect. The patient underwent simultaneous craniotomy and gross total resection of the tumour and cranioplasty. The final histopathological diagnosis was an anastomosing haemangioma. The patient recovered well postoperatively and has had no further neurological symptoms during follow-up.
Conclusion
This case highlights the rare presentation of an intraosseous anastomosing haemangioma of the skull with neurological manifestations. Complete excision remains the treatment of choice. Margin involvement necessitates close follow-up. Consideration of this rare entity in the differential diagnosis of vascular bone tumours of the skull is important in neurosurgical practice.
DOI
10.1080/02688697.2025.2600348
PMID
41424027
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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