Hemorrhagic Cavernous Sinus Hemangioma with Sudden-Onset Abducens Palsy

World Neurosurg. 2018 Apr;112:1-5. doi: 10.1016/j.wneu.2018.01.016. Epub 2018 Jan 8.

Abstract

Background: We report a rare case of hemorrhagic cavernous sinus hemangioma with sudden onset of abducens palsy.

Case descriptions: Sudden onset of diplopia occurred in a 49-year-old female. Head computed tomography findings revealed a high-density mass in the right cavernous sinus with protrusion to the sphenoid sinus. Endoscopic endonasal surgery was performed, though early recurrence was noted. A Gamma Knife surgical procedure was then performed to prevent early recurrence after histopathologic confirmation of cavernous sinus hemangioma. Thereafter, the tumor was controlled and abducens palsy disappeared.

Conclusions: For treatment of cavernous sinus hemangioma, stereotactic radiosurgery should be considered as primary or adjuvant treatment in the very early phase after removal, to avoid early recurrence.

Keywords: Cavernous sinus hemangioma; Endonasal endoscopic surgery; Gamma Knife surgery; Hemorrhage.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve Diseases / etiology*
  • Brain Neoplasms / complications*
  • Brain Neoplasms / surgery*
  • Female
  • Hemangioma, Cavernous, Central Nervous System / complications*
  • Hemangioma, Cavernous, Central Nervous System / surgery*
  • Humans
  • Middle Aged
  • Neuroendoscopy
  • Radiosurgery