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A Journal on Surgery

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Chirurgia 2011 December;24(6):361-3

language: English

A case of cavernoma of the cavernous sinus

Tun K. 1, Cemil B. 2, Ocakcioglu A. 2, Goker T. 2, Gokce E. C. 2, Caylak B. 3

1 Department of Neurosurgery, Acibadem Kayseri Hospital, Kayseri, Turkey
2 Department of Neurosurgery, Ankara Numune Education and Research Hospital, Ankara, Turkey
3 Department of Pathology, Baskent University School of Medicine, Ankara, Turkey


Cavernomas located within the cavernous sinus are rare vascular tumors that are very difficult to remove because of the risk of severe intraoperative bleeding and the complicated neurovascular structures of the cavernous sinus. A 38-year-old man presented with a one-year history of sensory loss in the territory of first, second, and third branches of the right trigeminal nerve. Computerized tomography and magnetic resonance imaging revealed a right parasellar cranial fossa tumor encasing the intracavernous sinus carotid artery. Angiography showed incidentally an aneurysm of the right middle cerebral artery bifurcation and a faint tumor blush. During surgery, firstly the aneurysm was clipped and secondly entirely intracavernous sinus tumor was subtotally excised. The histological appearance of the tumor is consistent with a cavernoma. Radiosurgery using a gamma knife and radiotherapy are useful treatment modalities in the management of symptomatic cavernomas when these tumors arise in regions of the brain or parasellar cranial fossa in which a complete resection cannot be accomplished.

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