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Intraoperative biopsy challenges: Cavernous sinus meningioma mimic
Antonio Pérez Serena1, Daisy Paola Martínez Betancourt2
1Hospital Universitario Juan Ramón Jiménez, Huelva, Spain.
Neurocirugia
|December 1, 2025
Summary
A cavernous sinus hemangioma, a rare vascular tumor, presented as a challenging diagnosis in an HIV-positive patient with cranial nerve palsy. Definitive diagnosis required histopathology, highlighting limitations of intraoperative biopsy.
Area of Science:
- Neurology
- Ophthalmology
- Oncology
Background:
- Cavernous sinus (CS) lesions pose diagnostic challenges, particularly in differentiating vascular tumors from neoplasms like meningiomas or schwannomas.
- A 56-year-old female patient with controlled Human Immunodeficiency Virus (HIV) presented with binocular diplopia and sixth cranial nerve palsy.
Keywords:
Biopsia intraoperatoriaCavernous hemangiomaCavernous sinusHemangioma cavernosoIntraoperative biopsyMeningiomaSeno cavernoso
