Cavernous hemangioma of the sphenoid sinus: case report and review of the literature

Surgical Neurology
H DufourF Grisoli

Abstract

Few cases of paranasal sinus cavernous hemangiomas have been reported in the literature. We report the first case of cavernous hemangioma of the sphenoid sinus and discuss therapeutic considerations and differential diagnosis. A case of sphenoid sinus tumor in a 67-year-old woman is reported. The initial symptoms were a horizontal diplopia, a left facial dysesthesia, and a recent history of unusual headache. Physical examination revealed a left VIth nerve paresis. A CT scan was performed showing a hypodense homogeneous mass in the sphenoid sinus that was not enhanced after administration of contrast medium. MR study demonstrated on T1-weighted image an isointense nonenhancing homogeneous mass filling the sphenoid sinus. On T2-weighted images the tumor mass displayed a mild hyperintense signal. The patient was operated on via a transsphenoidal approach with total removal of the tumor. Pathological findings were consistent with a nonosseous cavernous hemangioma. MR imaging performed 5 years later was still normal. The clinicoradiological and pathological features of this entity are described, and the literature reviewed.

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Citations

Apr 29, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sofia StamatakiEdward McCarthy
Dec 4, 2003·Australasian Radiology·Savvas AndronikouStephen Fasulakis
Aug 9, 2007·World Journal of Surgical Oncology·Young Mok ParkJung Yong Ahn
Dec 25, 2015·American Journal of Otolaryngology·Alexander J GertelTodd A Loehrl
May 23, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jun Ho KimHa Young Lee
Sep 26, 2014·Ear, Nose, & Throat Journal·Kaiming SuShankai Yin

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Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.

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