Cavernous sinus hemangioma clinical and neuroimaging features

Andrew G. Lee, Neil R. Miller, Paul W. Brazis, Mark L. Benson

Research output: Contribution to journalArticle

Abstract

A patient presented with an isolated left sixth nerve palsy. Magnetic resonance imaging revealed a sharply marginated 3 cm lesion in the left cavernous sinus, which was isointense to gray matter on T1-weighted images, hyperintense on T2-weighted images, and enhanced with paramagnetic contrast material. Cerebral angiography showed a homogeneous blush fed by an enlarged meningohypophyseal artery. The neuroimaging findings were thought to be most consistent with the diagnosis of a cavernous sinus meningioma. At the time of surgery, a vascular mass was encountered, and a biopsy was consistent with a cavernous hemangioma. This report describes the clinical and neuroimaging features of cavernous sinus hemangiomas that may help to differentiate them from other cavernous sinus lesions.

Original languageEnglish (US)
Pages (from-to)225-229
Number of pages5
JournalJournal of Neuro-Ophthalmology
Volume15
Issue number4
StatePublished - Dec 1995

Keywords

  • Cavernous hemangioma
  • Cavernous sinus
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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