Jawad Laaguili

Post-traumatic cavernous hemangioma of the frontal cranial vault

A 37-year-old previously healthy man presented with a localized headache and a progressive enlarging mass in the left frontal area for more than 8 months. He also reported a history of head injury in the same area sustained two years before. On physical examination, the mass (about 28 mm in diameter) was hard to pressure with freely mobile skin above the lesion in the left frontal sus-orbital region. Ophthalmologic and neurologic examinations were normal. Cranial computed tomography scan showed an osteolytic intradiploic lesion with poorly defined margins (A and B). Magnetic resonance imaging showed hyperintense lesion on T2-weighted image and hypointense on T1-weighted image with gadolinium enhancement (C). The lesion was extradural with slight brain mass effect. Surgery consisted of total resection of the bony bluish lesion (D) and cranioplasty. The postoperative course was uneventful. Histological study revealed a cavernous hemangioma of the diploe. Bone hemangioma is a vascular hemartoma: a benign tumor arising from the intrinsic vasculature of the bone, commonly seen in long bones and vertebrae. Skull cavernous hemangiomas are rare tumors for which the origin is not yet clear. We suspected that in our case head injury may have been the cause of cavernous hemangioma in the cranial vault.

Spontaneous Intraventricular Hemorrhage Caused by Sphenoid Meningioma

Abstract Introduction Benign sphenoid meningioma presenting with an acute intraventricular hemorrhage is extremely uncommon. Case report We report a case of a 61‐year‐old man who was admitted after sudden onset of a severe headache. Brain computed tomography revealed a sphenoid meningioma with acute intraventricular hemorrhage. Discussion Intraventricular hemorrhage caused by Meningiomas is infrequent. Several hypotheses have been proposed to explain the cause of hemorrhage. Conclusion The benignity of meningiomas is relative because these tumors can cause exceptional complications such as bleeding.

Simple intraparenchymal cyst of the cerebellum

We present a magnetic resonance imaging of a 38 old woman, admitted with clinical symptoms of expansive cerebellar lesion. No mural nodule and no enhancement after gadolinium injection were noted. She was operated upon and an anatomico-pathological diagnosis of a simple cyst was made. Cysts of the posterior fossa are common in the literature, but the simple cyst is rare. Considered in the differential diagnosis of these cysts: (hemangioblastoma, astrocytoma cystic, hydatid cyst ...). The postoperative course was uneventful after surgery.