Skull Base 2003; 13(2): 093-100
DOI: 10.1055/s-2003-40599
CASE REPORT

Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Sclerosing Cavernous Hemangioma in the Cavernous Sinus: Case Report

Antonio Aversa do Souto1 , Jorge Marcondes1 , Marcello Reis da Silva1 , Leila Chimelli2
  • 1Division of Neurosurgery, University Hospital, Federal University of Rio de Janeiro, Brazil
  • 2Department of Pathology, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
Further Information

Publication History

Publication Date:
19 May 2004 (online)

ABSTRACT

Cavernous hemangiomas of the cavernous sinus belong to a well-distinguished entity of extra-axial cavernous hemangiomas located in the cavernous sinus and have a typical appearance on magnetic resonance imaging (MRI). Severe intraoperative bleeding has been described during the excision of these lesions that is probably associated with their pathological features. An atypical case of a sclerosing lesion with distinct MRI features is described. In these particular cases, especially with giant hemangiomas where en bloc excision would be difficult, safe internal decompression and resection can be achieved.

REFERENCES

  • 1 Ohata K, El-Naggar A, Takami T. Efficacy of induced hypotension in the surgical treatment of the large cavernous sinus cavernoma.  J Neurosurg . 1999;  90 702-708
  • 2 Namba S. Extracerebral cavernous angioma of the middle cranial fossa.  Surg Neurol . 1983;  19 379-388
  • 3 Shi J, Hang C, Pan Y, Liu C, Zhang Z. Cavernous hemangiomas in the cavernous sinus.  Neurosurgery . 1999;  45 1308-1314
  • 4 Rosenblum B, Rothman A S, Lanzieri C, Song S. A cavernous sinus cavernous hemangioma: case report.  J Neurosurg . 1986;  65 716-718
  • 5 Sephernia A, Tatagiba M, Brandis A, Samii M, Prawitz R H. Cavernous angioma of the cavernous sinus: case report.  Neurosurgery . 1990;  27 151-155
  • 6 Dolenc V. A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms.  J Neurosurg . 1985;  62 667-672
  • 7 Al-Mefty O, Smith R R. Surgery of tumors invading the cavernous sinus.  Surg Neurol . 1988;  30 370-381
  • 8 Linskey M, Sekhar L N. Cavernous sinus hemangioma. A series, a review and a hypothesis.  Neurosurgery . 1992;  30 101-107
  • 9 Bristot R, Santoro A, Fantozzi L. Cavernoma of the cavernous sinus: case report.  Surg Neurol . 1997;  48 160-163
  • 10 Pástzor E, Szabo G, Slowic F. Cavernous angioma of the base of the skull. Report of a case treated surgically.  J Neurosurg . 1964;  21 582-585
  • 11 Rigamonti D, Pappas C TE, Spetzler R. Extracerebral cavernous angiomas of the middle fossa.  Neurosurgery . 1990;  27 306-310
  • 12 Sawamura Y, de Tribolet N. Cavernous angioma of the cavernous sinus: case report.  Neurosurgery . 1990;  26 126-128
  • 13 Eisenberg M B, Al-Mefty O, DeMonte F, Burson G T. Benign nonmeningeal tumors of the cavernous sinus.  Neurosurgery. 1999;  44 949-955
  • 14 Suzuki Y, Shibuya M, Baskaya M K. Extracerebral cavernous angiomas of the cavernous sinus in the middle fossa.  Surg Neurol . 1996;  45 123-132
  • 15 Hashimoto M, Yokota A, Ohta H, Urasaki E. Intratumoral injection of plastic adhesive material for removal of cavernous sinus hemangioma.  J Neurosurg . 2000;  93 1078-1081
  • 16 Suzuki Y, Shibuya M, Baskaya M K. Extracerebral cavernous angiomas of the cavernous sinus in the middle fossa.  Surg Neurol . 1996;  45 123-132
  • 17 Thompson T P, Lunsford L D, Flickinger J C. Radiosurgery for hemangiomas of the cavernous sinus and orbit: technical case report.  Neurosurgery . 2000;  47 778-783
  • 18 Meyer F B, Lombardi D, Scheithauer B, Nichols D A. Extra-axial cavernous hemangiomas involving the dural sinuses.  J Neurosurg . 1990;  73 187-192
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