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[Giant cavernous sinus haemangioma. Case report].

M Navas¹, M Pedrosa-Sánchez, P Martínez-Flórez

¹Servicio de Neurocirugía. Hospital Universitario de la Princesa. Madrid. España.

Neurocirugia (Asturias, Spain)

|October 16, 2009

Summary

Intracranial hemangiomas are rare benign tumors that can mimic meningiomas in the cavernous sinus. Surgical removal presents challenges due to the risk of bleeding.

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Area of Science:

Neurosurgery
Vascular Neurology

Background:

Intracranial hemangiomas are benign vascular tumors.
They rarely occur in the cavernous sinus region.
Often misdiagnosed as meningiomas.

Observation:

A 60-year-old woman presented with third cranial nerve palsy.
Imaging revealed a giant extraaxial mass in the middle cranial fossa.
Angiography showed mild enhancement and mass effect.

Findings:

Tumoral embolization was performed.
The hemangioma was partially resected via a pterional approach.
The patient had an uneventful recovery without new deficits.

Implications:

Hemangiomas should be considered in the differential diagnosis of cavernous sinus tumors.

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These tumors pose a neurosurgical challenge due to anatomical complexity and bleeding risk.

Consideration of hemangioma in cavernous sinus lesions is crucial for accurate diagnosis and surgical planning.