The diagnosis and treatment strategy of occipital skull mass in hemophilic patients: a rare case report and literature review  

作　　者：Qingyuan Liu Jun Wu Chunde Li Shuo Wang 

机构地区：[1]Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,No.119South4th Ring West Road,Fengtai District,Beijing100070,China [2]China National Clinical Research Center for Neurological Diseases,Beijing,People's Republic of China [3]Center of Stroke,Beijing Institute for Brain Disorders,Beijing,People's Republic of China

出　　处：《Chinese Neurosurgical Journal》2019年第3期177-181,共5页中华神经外科杂志（英文）

摘　　要：Cranial hemophilic pseudotumor (cHPT) is a very rare disease, which is easy to misdiagnose. It is also difficult to manage such patients. We reported the first case of occipital cHPT. Case presentation: Here, we presented a rare case of an occipital bone mass in a 3-year-old boy who was diagnosed with hemophilia A. The mass was misdiagnosed as an aneurysmal bone cyst by pathological examination. After resection, the patient underwent one-stage cranioplasty. However, the patient was admitted again for hematoma caused by an invasive procedure. A second surgery and one-stage cranioplasty were performed at the same time. A follow-up 3 months after discharging showed the patient was uneventful, and the titanium mesh was well fixed. Conclusion: The diagnosis of cHPT requires the combining of history, radiological examination, and pathological examination. Resection is the best choice for symptomatic cHPT. Replacement treatment and less invasive treatment can make perioperative management safer. One-stage cranioplasty for resection of an occipital cHPT can improve the quality of life.

关 键 词：Hemophilic PSEUDOTUMOR PERIOPERATIVE management Diagnosis STRATEGY Replacement treatment One-stage CRANIOPLASTY 

分 类 号：R73[医药卫生—肿瘤]