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Paediatric primary intraosseous meningioma of the calvarium.

BMJ Case Rep

January 2025

Radiodiagnosis, AIIMS Nagpur, Nagpur, Maharashtra, India.

A boy in his middle childhood presented with a gradually enlarging, mildly tender swelling in the left frontal region, noticed after minor trauma. Skull radiograph and non-enhanced CT revealed a diffuse sclerotic lesion involving the left frontal bone and overlying subcutaneous soft tissue, suggestive of an intraosseous haemangioma. Contrast-enhanced MRI showed an expansile, hypointense lesion in the frontal bone on the left side with enhancing extraosseous components and a small extra-axial cyst.

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Introduction: Klippel-Trenaunay Syndrome (KTS) is a rare congenital condition characterized by vascular malformations, bone abnormalities, and limb overgrowth. The genetic basis of KTS is not fully understood, and the diagnosis relies on clinical features. Its clinical spectrum includes several neurosurgical diagnoses, such as cavernous hemangiomas, arteriovenous fistulas, and Chiari I malformation.

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Intraosseous hemangiomas are benign vascular tumors which are more commonly seen in the vertebrae and skull but they rare in the ribs. Rib hemangiomas can mimic malignant rib lesions and definitive clinical and imaging diagnosis might be difficult and pathological confirmation will be required. Here we report a rib hemangioma in a 49-year-old male presented with painless chest wall swelling of 9 years duration, on chest CT scan the lesion showed dense radiating type calcification with cortical destruction.

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Article Synopsis
  • Cerebrovascular diseases and intracranial tumors pose significant risks to military pilots, emphasizing the need for thorough screening and early intervention to prevent inflight incapacitation.
  • The study investigates the types of intracranial diseases and medical imaging findings in military pilots (cadets) undergoing physical exams for transfer to high performance aircraft, aiming to improve aeromedical support.
  • Of 554 pilots examined, 36 were found with abnormal MRI results, displaying conditions such as arachnoid cysts, small aneurysms, and other issues that disqualified them from flying high-performance aircraft.
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Article Synopsis
  • Orbital Cavernous venous malformations (OCVMs) are benign, well-defined lesions that are commonly found in the orbital area, ranking third in prevalence among intraconal pathologies after lymphoid tumors and idiopathic inflammation.
  • A middle-aged female patient experienced progressive eye protrusion without visual disturbances; imaging confirmed an intraconal lesion near the optic nerve.
  • The lesion was successfully treated using an endoscopic endonasal transmaxillary approach, leading to complete resolution of symptoms and a positive recovery, with pathology confirming it as a cavernous hemangioma.
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