Title |
Cavernous Sinus Hemangioma |
Creator |
Lee, AG; Miller, NR; Brazis, PW; Benson, ML |
Affiliation |
Neuro-ophthalmology Unit, Wilmer Ophthalmological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. |
Abstract |
A patient presented with an isolated left sixth nerve palsy. Magnetic resonance imaging revealed a sharply marginated 3 cm lesion in the left cavernous sinus, which was isointense to gray matter on T1-weighted images, hyperintense on T2-weighted images, and enhanced with paramagnetic contrast material. Cerebral angiography showed a homogeneous blush fed by an enlarged meningohypophyseal artery. The neuroimaging findings were thought to be most consistent with the diagnosis of a cavernous sinus meningioma. At the time of surgery, a vascular mass was encountered, and a biopsy was consistent with a cavernous hemangioma. This report describes the clinical and neuroimaging features of cavernous sinus hemangiomas that may help to differentiate them from other cavernous sinus lesions. |
Subject |
Abducens Nerve; Adult; Brain Neoplasms/diagnosis; Brain Neoplasms/surgery; Carotid Artery, Internal/radiography; Cavernous Sinus/pathology; Cavernous Sinus/surgery; Cerebral Angiography; Contrast Media; Cranial Nerve Diseases/complications; Craniotomy; Female; Gadolinium; Gadolinium DTPA; Hemangioma, Cavernous/diagnosis; Hemangioma, Cavernous/surgery; Humans; Magnetic Resonance Imaging; Organometallic Compounds/diagnostic use; Pentetic Acid/analogs & derivatives; Pentetic Acid/diagnostic use |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
224682 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6b311dt/224682 |