Intracanal Optic Nerve Cavernous Hemangioma: A Case Report and Review of the Literature

Algoet, Michiel; Dyck-Lippens, Pieter Jan Van; Sirimsi, Sabriya; Fletcher, Christophe D.M.; Berghe, Ivo Van Den; Vanopdenbosch, Ludo; Muynck, Stijn De; Vantomme, Nikolaas

doi:10.1016/j.wneu.2019.02.202

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…Based on our review, the optochiasmatic pathway is the most involved cranial nerve, with at least 75 reported cases, which commonly presented with visual loss and headache. [ 1 , 4 - 6 , 17 , 25 , 31 , 32 , 36 , 46 , 49 , 51 , 53 , 54 , 59 ] There are at least 10 reported cases of CMs in the VII/VIII nerve complex (excluding the internal auditory canal CMs), with the main complaint of hearing loss. [ 10 , 30 , 34 , 46 ] In nine confirmed cases, the oculomotor nerve was involved, mainly with diplopia and ptosis as the prominent manifestations.…”

Section: Discussionmentioning

confidence: 99%

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Samadian

Maroufi

Bakhtevari

et al. 2021

Surgical Neurology International

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Background: Isolated cavernous malformation (CM) of the abducens nerve has not been reported in the literature. Herein, the authors address the clinical importance of these lesions and review the reported cases of CM from 2014 to 2020. Case Description: A 21-year-old man presented with binocular diplopia and headache from 2 months before his admission. The neurological examination revealed right-sided abducens nerve palsy. The brain MRI revealed an extra-axial pontomedullary lesion suggestive of a CM. The lesion was surgically removed. During the operation, the abducens nerve was resected considering the lesion could not be separated from the nerve and an anastomosis was performed using an interposition nerve graft and fibrin glue. Pathological examination of the resected lesion revealed that it was originated from within the nerve. The patient’s condition improved in postoperative follow-ups. Conclusion: Surgical resection of the cranial nerves CMs is appropriate when progressive neurological deficits are present. If the lesion is originated from within the nerve, we suggest resection of the involved nerve and performing anastomosis. Novel MRI sequences might help surgeons to be prepared for such cases and fibrin glue can serve as an appropriate tool to perform anastomosis when end-to-end sutures are impossible to perform.

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Section: Discussionmentioning

confidence: 99%

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Samadian

Maroufi

Bakhtevari

et al. 2021

Surgical Neurology International

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“…Each study was read in its entirety, and information collected included patient demographics, presenting and other symptoms, lesion location and management, outcome, and period of observation. [2][3][4][5][6][7][8][9][10][11][12][13][14]16,[20][21][22][23][24][25][26][27][28][29][30][31]…”

Section: Methods Data Collection: Systematic Reviewmentioning

confidence: 99%

“…Of 62 articles not included in the review by Tan et al, 17 26 were published between January 1, 1978, and December 25, 2020 (Supplemental Table ). [2][3][4][5][6][7][8][9][10][11][12][13][14]16,17,[20][21][22][23][24][25][26][27][28][29][30][31] These accounted for a total of 37 cases in addition to the 70 cases cited by Tan et al 17 Of these 37 cases, 14 were managed endoscopically, 20 through open surgery, and 3 by observation.…”

Section: Literature Review: Updatedmentioning

confidence: 99%

“…CMs sometimes occur in unusual areas, such as the optic nerve, as described in several single case reports in the literature, with increased reporting in the past 10 yr. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] A systematic review by Tan et al 17 found 70 cases in the literature as of 2015. The true incidence was suspected to be higher than reported, with many cases conservatively managed and not published.…”

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confidence: 99%

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Cavernous Malformations of the Optic Nerve and Optic Pathway: A Case Series and Systematic Review of the Literature

Srinivasan

Koester

Wang

et al. 2021

ONSURG

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BACKGROUND Although rare, cavernous malformations (CMs) of the optic nerve and anterior optic pathway (optic pathway cavernous malformations [OPCMs]) can occur, as described in several single case reports in the literature. OBJECTIVE To describe the technical aspects of microsurgical management of CMs of the optic pathway on the basis of an extensive single-center experience and review of the literature. METHODS A systematic literature review was performed to augment an earlier review, using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. In addition, an institutional database was searched for all patients undergoing surgical resection of OPCMs. Patient information, surgical technique, and clinical and radiographic outcomes were assessed. RESULTS Since the previous report, 14 CMs were resected at this institution or by the senior author at another institution. In addition, 34 cases were identified in the literature since the systematic review in 2015, including some earlier cases that were not discussed in the previous report. Most OPCMs were resected via pterional, orbital-pterional, and orbitozygomatic craniotomies. Visual outcomes were similar to those in earlier reports, with 70% of patients reporting stable to normal vision postoperatively. CONCLUSION OPCMs can occur throughout the anterior visual pathway and may cause significant symptoms. Surgery is feasible and should be considered for OPCMs presenting to a surface of the nerve. Favorable results can be obtained with resection, although optimal results are obtained with patients who present with milder symptoms without longstanding damage to the optic apparatus.

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“…The optic nerve is a rare location of CVM (1). Surgical resection remains the standard treatment, but a less invasive approach might be preferred (1,2). 1951, it is now a weekly with 48 issues per year.…”

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confidence: 99%

Optic Nerve Cavernous Venous Malformation

Anglaret

2021

Neurology

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Intracanal Optic Nerve Cavernous Hemangioma: A Case Report and Review of the Literature

Cited by 10 publications

References 19 publications

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Cavernous Malformations of the Optic Nerve and Optic Pathway: A Case Series and Systematic Review of the Literature

Optic Nerve Cavernous Venous Malformation

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