Gamma Knife surgery for a hemangioma of the cavernous sinus in an adult: Case report and short review of the literature.

Details

Serval ID
serval:BIB_0D4D3228CA14
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Gamma Knife surgery for a hemangioma of the cavernous sinus in an adult: Case report and short review of the literature.
Journal
Neuro-Chirurgie
Author(s)
Schwyzer L., Tuleasca C., Borruat F.X., Radovanovic I., Levivier M.
ISSN
1773-0619 (Electronic)
ISSN-L
0028-3770
Publication state
Published
Issued date
09/2017
Peer-reviewed
Oui
Volume
63
Number
4
Pages
320-322
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Cavernous sinus hemangiomas (CSH) are rare benign extra-axial vascular lesions. Both radiological and clinical aspects are important, for deciding a therapeutic modality, including medical treatment, radiation therapy or microsurgery. In the particular case of CSH, a radical removal of the tumor often cannot be achieved and is associated with a considerable risk for intraoperative uncontrollable bleeding. An alternative treatment modality is radiosurgery. Here we report the case of a 45-year-old patient, who presented with diplopia due to left abducens nerve palsy. A left-sided cavernous sinus lesion was found, initially considered to be a meningioma. However, after serial MR acquisitions, a progressive and heterogeneous enhancement was observed. In order to clarify the diagnosis between meningioma and hemangioma, a diagnostic Tc-99m labeled red blood cells (RBC) scintigraphy (Tc-99m RBC scintigraphy) was performed and showed a typical perfusion blood pool mismatch, with accumulation of the RBC at the level of the left CS, which is typical for a hemangioma. The patient underwent Gamma Knife surgery. The CSH showed a significant reduction in size starting 6 months after treatment and a full regression of the left abducens nerve palsy was observed within 1 year. These clinical and radiological results persisted over the next 3 years.

Keywords
Cavernous sinus, Gamma Knife, Hemangioma, Radiosurgery
Pubmed
Web of science
Create date
02/10/2017 14:07
Last modification date
20/08/2019 13:34
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