Large capillary hemangioma of the temporal bone with a dural tail sign: A case report

Yang,Guang; Li,Chenguang; Chen,Xin; Liu,Yaohua; Han,Dayong; Gao,Xin; Kawamoto,Keiji; Zhao,Shiguang

doi:10.3892/ol.2014.2143

Large capillary hemangioma of the temporal bone with a dural tail sign: A case report

Authors:
- Guang Yang
- Chenguang Li
- Xin Chen
- Yaohua Liu
- Dayong Han
- Xin Gao
- Keiji Kawamoto
- Shiguang Zhao
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Affiliations: Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China, Computer, Electrical and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, Saudi Arabia, Department of Neurosurgery, Kansai Medical University, Osaka, Japan
Published online on: May 13, 2014 https://doi.org/10.3892/ol.2014.2143
Pages: 183-186

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Abstract

The present study reports a rare case of large capillary hemangioma of the temporal bone with a dural tail sign. A 57‑year‑old female presented with pulsatile tinnitus and episodic vertigo associated with a ten‑year history of an intermittent faint headache. Magnetic resonance imaging revealed a mass in the right petrous bone, which was hypointense on T1‑weighted images and heterogeneously hyperintense on T2‑weighted images, and showed a dural tail sign following gadolinium administration. Pre‑operatively, this tumor was believed to be a meningioma. During surgery, the vascular tumor was removed by a modified pterional approach. A histopathological examination indicated that the tumor was a capillary hemangioma. Although intraosseous capillary hemangiomas are rare, they most frequently affect the temporal bone. Hemangiomas of the temporal bone may mimic other more common basal tumors. The diagnosis is most often made during surgical resection. The dural tail sign is not specific for meningioma, as it also occurs in other intracranial or extracranial tumors. The treatment of intratemporal hemangiomas is complete surgical excision, with radiotherapy used for unresectable lesions. To the best of our knowledge, the present study is the fourth case of intraosseous intracranial capillary hemangioma, but the largest intratemporal hemangioma to be reported in the literature to date.

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