Merits of intralesional fibrin glue injection in surgery for the cavernous sinus cavernous hemangiomas

Kim, Il-man; Yim, Man-Bin; Lee, Chang-Young; Son, Eun-Ik; Kim, Dong-Won; Kim, Sang-Pyo; Sohn, Chul‐Ho

doi:10.3171/jns.2002.97.3.0718

Cited by 26 publications

(10 citation statements)

References 29 publications

(34 reference statements)

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“…Treatment of patients with cavernous sinus hemangiomas has generated interest in recent years because the results of surgical intervention are unfavorable, even if new surgical techniques, for example the extradural approach and induced systemic hypotension, are applied [17][18][19][20]. According to some published reports, the lesions are quite radiosensitive; radiosurgery and conventional radiotherapy should therefore be important in overall management [21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

The role of stereotactic radiosurgery in cavernous sinus hemangiomas: a systematic review and meta-analysis

et al. 2011

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Cavernous sinus hemangioma is a rare and complex vascular tumor. A direct microsurgical approach usually results in massive hemorrhage. Stereotactic radiosurgery has emerged as a treatment alternative to microsurgery. To conduct a meta-analysis assessing the effect and complications of stereotactic radiosurgery in cavernous sinus hemangioma, a systematic review and meta-analysis of all cases of cavernous hemangioma in the cavernous sinus treated with stereotactic radiosurgery was performed. The search revealed ten papers with a total enrollment of 59 patients. Tumor size ranged from 1.5-51.4 cm(3) (mean 9.6 cm(3)). The mean follow-up period was 49.2 months (range 6-156 months). The most recent MR images demonstrated remarkable tumor shrinkage in 40 patients (67.8%), partial shrinkage in 15 patients (25.4%), and no change in four patients (6.8%). There was no significant correlation between lesion volume and tumor shrinkage. Patients with remarkable tumor shrinkage received higher doses than those with partial or no change tumor shrinkage (P = 0.031). Thirteen patients (22.0%) had no cranial nerve impairments before stereotactic radiosurgery. Among those 46 patients with cranial nerve impairments before stereotactic radiosurgery, complete resolution was achieved in seven patients and improvement in 28, and these impairments remained essentially unchanged in 11 patients. Only one patient had additional trigeminal nerve disturbance. There is no statistical significance in tumor control between patients treated with or without surgery (P = 0.091). The meta-analysis suggests stereotactic radiosurgery avoids the complications associated with attempted microsurgical resection. Stereotactic radiosurgery is an alternative for cavernous sinus hemangiomas confirmed by typical imaging.

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Section: Discussionmentioning

confidence: 99%

The role of stereotactic radiosurgery in cavernous sinus hemangiomas: a systematic review and meta-analysis

et al. 2011

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“…8 Numerous methods of reducing tumour size and vascularity have been suggested, to minimise blood loss during resection of these highly vascular tumors. 8 Numerous methods of reducing tumour size and vascularity have been suggested, to minimise blood loss during resection of these highly vascular tumors.…”

Section: Discussionmentioning

confidence: 99%

Intrasellar cavernous hemangioma

Chuang

Jung

Yang

et al. 2006

Journal of Clinical Neuroscience

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“…65 Several other methods of haemostasis, including intratumoural fibrin glue or plastic adhesive injection, or induced hypotension, have been proposed, but early devascularisation and enbloc removal ensures the most direct means of achieving haemostasis. 63,[66][67][68] In our experience, gamma knife radiosurgery has also been very effective in the primary treatment of cavernous sinus haemangiomas. 69 This finding is supported by several other reports.…”

Section: Cavernous Sinus Haemangiomasmentioning

confidence: 94%