Visual Loss From Cavernous Hemangiomas of the Middle Cranial Fossa

Harper, David G.; Buck, David R.; Early, Calvin B.

doi:10.1001/archneur.1982.00510160058014

Cited by 25 publications

(14 citation statements)

References 8 publications

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“…Cavernous hemangioma is usually angiographically`occult' despite the extensive vascularity, 15,28) although mild tumor blush is frequently seen. 6,12,14,16,17,25,28) As in our cases, the inferolateral trunk, 6,8,11) meningohypophyseal trunk, 15,17,18) accessory meningeal artery, 18,25) and middle meningeal artery 5,12,15,17) have been identified as major feeding vessels. In two of our cases, there was a relatively large feeder from the region of origin of McConnell's capsular artery.…”

Section: Discussionsupporting

confidence: 75%

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Extradural Approach for Cavernous Hemangioma of the Cavernous Sinus: Experience With 13 Cases.

Goel

Muzumdar

Sharma

2003

Neurol. Med. Chir.(Tokyo)

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The clinical, radiological, and surgical issues concerning cavernous hemangiomas located within the dural confines of the cavernous sinus were analyzed on the basis of experience with 13 cases. The feasibility of radical resection by an entirely extradural approach using a basal temporal surgical route to this relatively rare and formidable surgical problem was investigated. Thirteen patients, four males and nine females, with cavernous hemangioma involving the cavernous sinus were treated from 1992 to 2001. The patients were aged from 15 to 55 years. Headaches and deficits of the cranial nerves coursing through the cavernous sinus were the principal symptoms at presentation. Vision was affected in four patients. The radiological features in all patients were similar with a characteristic pattern of extension and encasement of internal carotid artery. The maximum size of the tumor was 28 to 73 mm (mean 44 mm). An entirely extradural route using the basal temporal approach was used successfully in seven cases. Total resection was achieved in 12 patients and partial resection was achieved in one patient. The follow up ranged from 8 months to 9 years (mean 45 months). The outcome of extraocular movements was poor in our series, possibly due to the massive sizes of the tumors encountered. There was no recurrence or growth of the residual tumor and all patients were leading active lives.

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Section: Discussionsupporting

confidence: 75%

“…4) Surgical excision is the most acceptable therapy considering the benign nature of the lesion and potential curability. 6,12,15,17,23,25) Smaller lesions and those with mild symptoms can be clinically and radiologically observed. The main difficulty during surgery for cavernous hemangioma is the vascularity of the lesion.…”

Section: Discussionmentioning

confidence: 99%

Extradural Approach for Cavernous Hemangioma of the Cavernous Sinus: Experience With 13 Cases.

Goel

Muzumdar

Sharma

2003

Neurol. Med. Chir.(Tokyo)

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“…The most common form of MRI findings such as speckled mixed intensity may reflect vascular lumens, their thromboses, and calcifications in the lesion. Intra-axial cavernous angiomas usually have a multifocal hyperintense center surrounded by a hypointense rim which results from the blood products in different stages of evolution (1, 9-11). However, the characteristic peripheral low-signal rim is usually absent in extra-axial cavernous angiomas, and this was true in our case.…”

Section: Discussionmentioning

confidence: 99%

Cavernous Angioma in the Falx Cerebri: A Case Report

et al. 2006

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Intracranial cavernous angiomas are benign vascular malformations and can be divided into intra-axial and extra-axial lesions. Extra-axial cavernous angiomas are relatively rare and usually arise in relation to the dura mater and mimick meningiomas. We report a case of cavernous angioma that occured in the falx cerebri of a 22-yr-old female patient with the special focus on neuroradiologic findings. This is the fourth case of cavernous angioma in the falx cerebri reported in the literature to our knowledge.

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“…1,6,[8][9][10][11][12][13]16,17,19,22 They have been more frequently reported on by Japanese authors and are associated with a female predominance in most series. 1,8,10,22 These hemangiomas show a tendency to grow, which could be due to neoplastic progression; peripheral capillary outgrowth, ectasia of vascular spaces, and thrombosis with progressive sclerosis have also been proposed as possible explanations.…”

Section: Discussionmentioning

confidence: 99%

“…1,8,10,22 These hemangiomas show a tendency to grow, which could be due to neoplastic progression; peripheral capillary outgrowth, ectasia of vascular spaces, and thrombosis with progressive sclerosis have also been proposed as possible explanations. 6,12,24 Interestingly, some authors consider ECHs to be proliferative neoplastic lesions, similar to hemangiomas occurring in infancy. 8,12,21 Nevertheless, this concept is not accepted by others who define these lesions as vascular congenital malformations very similar histologically and immunohistochemically to parenchymal cavernomas.…”

Section: Discussionmentioning

confidence: 99%

Cavernous hemangioma extending to extracranial, intracranial, and orbital regions

Puca

Colosimo²,

Tirpakova³

et al. 2004

Journal of Neurosurgery

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Extraaxial cavernous hemangiomas are rare intracranial lesions that can be located in different cranial compartments. Extension across different tissue planes such as the subcutaneous tissue, skull, orbital cavity, intracranial dura mater, and extracranial trigeminal divisions within the same patient has not been previously reported. This 32-year-old woman suffered left exophthalmos, left sixth nerve palsy, and trigeminal neuropathy. Magnetic resonance imaging studies revealed an extensive multicompartmental lesion, with enhancement following Gd administration. A left orbitopterional approach allowed removal of several cavernomatous lesions located in the orbit, frontotemporal dura, and lateral wall of the cavernous sinus. A histologically based diagnosis of extraaxial cavernous hemangioma was made. In the postoperative period the patient experienced a regression of her symptoms. The authors report on a case of cavernous hemangioma with a unique extension to different intracranial/extracranial compartments. Although radical removal of the lesion was not feasible, partial excision allowed for satisfactory clinical control of the patient's symptoms.

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Visual Loss From Cavernous Hemangiomas of the Middle Cranial Fossa

Cited by 25 publications

References 8 publications

Extradural Approach for Cavernous Hemangioma of the Cavernous Sinus: Experience With 13 Cases.

Extradural Approach for Cavernous Hemangioma of the Cavernous Sinus: Experience With 13 Cases.

Cavernous Angioma in the Falx Cerebri: A Case Report

Cavernous hemangioma extending to extracranial, intracranial, and orbital regions

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