Hemophilic pseudotumor of the skull: A rare presentation in a young child
DOI:
https://doi.org/10.46475/asean-jr.v26i3.937Keywords:
Hemophilia, Hemophilic pseudotumor, Scalp, SkullAbstract
Hemophilic pseudotumors are rare complications of severe hemophilia and typically involve muscles and bones. We present the case of a 1-year-old 5-month-old boy with severe hemophilia A, who developed progressively enlarging left occipital scalp swelling. A computed tomography (CT) scan revealed a significant left occipital osteolytic calvarial mass causing a mass effect and displacing the 4th ventricle. The absence of acute neurological compromise allowed for conservative management in this case. This case highlights the importance of considering hemophilic pseudotumors in patients with hemophilia, even in atypical locations. Early recognition and individualized management are crucial for optimal outcomes in patients with this challenging complication.
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Radiopaedia.org [Internet]. Victoria, Australia: Radiopaedia; 2005–2025 [cited 2025 Jun 24]. Niknejad M, Knipe H, Sharma R, et al. Hemophilic pseudotumour. Available from: https://radiopaedia.org/articles/haemophilic-pseudotumour?lang=us
Park JS, Ryu KN. Hemophilic pseudotumor involving the musculoskeletal system: spectrum of radiologic findings. AJR Am J Roentgenol 2004;183:55-61. doi: 10.2214/ajr.183.1.1830055.
Lin K, Fan Y, Lin Z, He X, Huang S, Zhang F.. Skull hemophilia pseudotumor: A case report. Open Med (Wars) 2021;16:435-9. doi: 10.1515/med-2021-0245.
Xu Q, Wu P, Feng Y. Bilateral cranial hemophilic pseudotumor. J Craniofac Surg 2014;25:e369-71. doi: 10.1097/SCS.0000000000000856.
Zhang Z, Zhu Y, Fang ZB, Tong Y. Bilateral cranial hemophilic pseudotumors. Neurology 2014 ;82:638-9. doi: 10.1212/WNL.0000000000000129.
Horton DD, Pollay M, Wilson DA, Brandon FM, Sexauer CL. Cranial hemophilic pseudotumor: Case report. J Neurosurg 1993;79:936-8. doi: 10.3171/jns.1993.79.6.0936.
Rodriguez-Merchan, E C. Hemophilic pseudotumors: diagnosis and management. Arch Bone Jt Surg 2020;8:121-30. doi: 10.22038/abjs.2019.40547.2090.
Kiu A, Yang I, Fung T, Jaffer R, Martin MH. Pseudotumor: an uncommon complication of severe hemophilia. BJR Case Rep 2024;10(4):uaae019. doi: 10.1093/bjrcr/uaae019.
Radiopaedia.org [Internet]. Victoria, Australia: Radiopaedia; 2005–2025 [cited 2025 Jun 24]. Gaillard F, Baba Y, Yap J, et al. Hutchinson syndrome. Available from: https://radiopaedia.org/articles/hutchinson-syndrome?lang=us
Pakala A, Thomas J, Comp P.. Hemophilic pseudotumor: a case report and review of literature. Int J Clin Med [Internet] 2012 [cited 2025 Jun 24];3:229-33. Available from: https://www.scirp.org/journal/paperinformation?paperid=19411
Radiopaedia.org [Internet]. Victoria, Australia: Radiopaedia; 2005–2025 [cited 2025 Jun 24]. Abdrabou A. Neuroblastoma with CNS metastases. Available from: https://radiopaedia.org/cases/neuroblastoma-with-cns-metastases?lang=us

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