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Atypical subgaleal haemangioma causing calvarial erosion: a case report

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Infantile haemangiomas are the most common soft tissue tumours of infancy and childhood, with an incidence rate of 4–10 %. These lesions commonly present between 2 and 10 weeks after birth and characteristically involute around 8–10 years of age. Most lesions occurring in the scalp are managed conservatively, with surgery reserved for those with complications.

Case description

A 5-year-old girl presented with a swelling over the left occiput noticed since birth, with a gradual increase in size and rapid progression since the last 1 year. She had undergone six sessions of intralesional steroids over the past 3 years. However, recent MRI and CT scans showed an increase in the swelling size with full-thickness erosion of the underlying calvarium without neuroparenchymal involvement. The patient underwent surgical excision of the lesion with an excellent outcome. Our literature review revealed only a single case of haemangioma which arose from the scalp and caused significant underlying calvarial erosion and intracranial extension.


We present a case of an atypical infantile haemangioma arising in the subgaleal plane causing full-thickness erosion of the underlying calvarium.

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Correspondence to Shradha Maheshwari.

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Maheshwari, S., Arora, E. & Savant, H. Atypical subgaleal haemangioma causing calvarial erosion: a case report. Childs Nerv Syst 32, 2475–2478 (2016).

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