Management of tumours involving the cavernous sinus.
The operative experience with 137 tumours of the cavernous sinus at the University of Pittsburgh during the past 7 years is reported. The importance of the normal and tumour-infiltrated cavernous sinus anatomy and imaging is delineated. 63% of the tumours are benign, primarily meningiomas, for which an anatomical grading system is presented. The various operative approaches to the cavernous sinus are described. 88% of the meningiomas were totally resected. There was a 1.5% operative mortality and 1.5% severe morbidity rate. Initial ipsilateral opthalmoplegia progressively improved in the majority of patients. For all patients with at least 6 months of follow up of benign tumours, the intracavernous tumour recurrence rate was 3% and total recurrence rate was 6%.
Sekhar
L N
LN
Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania.
Pomeranz
S
S
Sen
C N
CN
D001932:Brain Neoplasms / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D002426:Cavernous Sinus / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000473:pathology / Q000601:surgery; D003391:Cranial Nerves / Q000473:pathology / Q000601:surgery; D003399:Craniotomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000175:diagnosis; D014057:Tomography, X-Ray Computed