{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:17:56Z","timestamp":1789193876162,"version":"build-2803163510"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The radiographic presentation of the primary intraosseous cavernous hemangiomas (PICHs) is nonspecific. We report a case of clival PICH mimicking a chordoma with a literature review.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 57-year-old woman presented with diplopia that started a few days before the presentation. She had transient diplopia at the right lateral gaze and upper gaze with normal eye movement. The symptoms disappeared spontaneously 1 week later. She had no other complaints or neurological deficits. Computed tomography revealed an intraosseous mass lesion and bone erosion of the middle and lower clivus, extending laterally to the right occipital condyle. Magnetic resonance imaging (MRI) showed hyperintense and hypointense components on T2- and T1-weighted images, respectively. The lesion was larger than on MRI performed 10 years earlier. Chordoma or chondroma was considered a possible preoperative diagnosis. An endoscopic transsphenoidal approach removed the tumor. In the operating view, the lesion appeared as \u201cmoth-eaten\u201d bony interstices filled with vascular soft tissue. Histologically, an intraosseous cavernous hemangioma was diagnosed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Diagnosis before surgery is difficult without characteristic radiographic findings. When making a differential diagnosis of malignant skull lesions, PICH should be considered.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_106_2024","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T09:54:01Z","timestamp":1717149241000},"page":"177","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Primary intraosseous cavernous hemangioma of the clivus: A case report and literature review"],"prefix":"10.25259","volume":"15","author":[{"given":"Yuta","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Satoh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yugo","family":"Kishida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo D Tower Hospital, Koto-Ku, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daichi","family":"Fujimori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinori","family":"Onuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Tomura","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Southern Tohoku General Hospital, Koriyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"10.25259\/SNI_106_2024\/ref-1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1055\/s-0033-1346980","article-title":"Primary intraosseous cavernous hemangioma of the clivus: Case report and review of the literature","volume":"74","author":"Gologorsky","year":"2013","journal-title":"J Neurol Surg Rep"},{"key":"10.25259\/SNI_106_2024\/ref-2","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1055\/s-2004-817698","article-title":"Primary intraosseous skull base cavernous hemangioma: Case report","volume":"13","author":"Liu","year":"2003","journal-title":"Skull Base"},{"key":"10.25259\/SNI_106_2024\/ref-3","first-page":"778","article-title":"Multifocal cavernous hemangioma of the skull: Report of a case and review of the literature","volume":"30","author":"Peterson","year":"1992","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_106_2024\/ref-4","doi-asserted-by":"crossref","first-page":"S117","DOI":"10.4103\/2152-7806.155695","article-title":"High risk of cerebrospinal fluid leakage in surgery of a rare primary intraosseous cavernous hemangioma of the clivus showing meningeal infiltration: A case report and review of the literature","volume":"6","author":"Serrano","year":"2015","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_106_2024\/ref-5","doi-asserted-by":"crossref","first-page":"100030","DOI":"10.1016\/j.wnsx.2019.100030","article-title":"Intraosseous hemangioma of sella: Case report and review of literature","volume":"3","author":"Singh","year":"2019","journal-title":"World Neurosurg X"},{"key":"10.25259\/SNI_106_2024\/ref-6","first-page":"379","article-title":"Primary intraosseous hemangioma of the orbit: CT and MR appearance","volume":"18","author":"Sweet","year":"1997","journal-title":"Am J Neuroradiol"},{"key":"10.25259\/SNI_106_2024\/ref-7","first-page":"1193","article-title":"Cavernous hemangioma of the clivus: Case report and review of the literature","volume":"12","author":"Tashiro","year":"1991","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_106_2024\/ref-8","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s00256-010-0981-6","article-title":"Unusual lesion of the clivus: Diagnosis and discussion","volume":"40","author":"Vanhoenacker","year":"2011","journal-title":"Skeletal Radiol"},{"key":"10.25259\/SNI_106_2024\/ref-9","doi-asserted-by":"crossref","first-page":"e3069","DOI":"10.1097\/MD.0000000000003069","article-title":"Primary intraosseous cavernous hemangioma in the skull","volume":"95","author":"Yang","year":"2016","journal-title":"Medicine (Baltimore)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/primary-intraosseous-cavernous-hemangioma-of-the-clivus-a-case-report-and-literature-review","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/primary-intraosseous-cavernous-hemangioma-of-the-clivus-a-case-report-and-literature-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T09:54:08Z","timestamp":1717149248000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/primary-intraosseous-cavernous-hemangioma-of-the-clivus-a-case-report-and-literature-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,31]]},"references-count":9,"alternative-id":["10.25259\/SNI_106_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_106_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,5,31]]},"article-number":"177"}}