Cavernoma of the cavernous sinus: Case report.

摘要: Background The authors report a case of extra-axial cerebral cavernoma localized at the level cavernous sinus. This pathology is extremely rare, therefore, differential diagnosis with tumors such as meningioma often difficult. During recent years, surgical indications for these lesions, congenital and rarely hereditary, have become more definite due to considerable progress made in neuroradiologic microsurgic techniques well better anatomic knowledge this region. Methods 49-year-old man was admitted 1-year history diplopia. Cranial computed tomography (CT) scan contrast medium, performed prior admission, showed an expansive lesion right Preoperative diagnosis, after magnetic resonance imaging (MRI) gadolinium enhancement panangiography, probable cavernoma. totally removed via fronto-orbito-temporo-zygomatic craniotomy. Results Postoperatively, patient had oculomotor nerve palsy. spontaneously resolved 8 months surgery; diplopia also completely disappeared. Early postoperative control MRI scans on 2nd day 3 operation confirmed total removal lesion. Conclusions clinical onset aspect lesions fact that they involve sinus, may sometimes make preoperative sinus Nevertheless, given routine use microsurgical improved delicate region, treatment choice surgery. However, when doubts exist regarding achievement removal, radiosurgery still valid therapeutic tool.