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.
Cavernous hemangioma - cavernous sinus - magnetic resonance imaging - skull base surgery