Retroorbital hemangiopericytoma and cavernous sinus schwannoma--case report.
An 18-year-old male presented with severe proptosis and blindness in the right eye. Neuroimaging revealed a large and hypervascular tumor in the right retrobulbar region and a large tumor in the left cavernous sinus. Angiography showed the right tumor was extensively vascular, fed by a hypertrophic ophthalmic artery, and the left tumor was moderately vascular, fed by a large middle meningeal artery. Following embolization of the feeder vessels, the right retrobulbar hemangiopericytoma and the left cavernous sinus schwannoma were uneventfully and successfully resected. Such combinations of different pathological lesions present unusual therapeutic challenges.
Goel
Atul
A
Department of Neurosurgery, King Edward VII Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, India. atulgoel62@hotmail.com
Muzumdar
Dattatraya
D
Desai
Ketan
K
Chagla
Aadil
A
D000293:Adolescent; D001932:Brain Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging* / Q000473:pathology*; D006393:Hemangiopericytoma / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D008297:Male; D009442:Neurilemmoma / Q000000981:diagnostic imaging* / Q000473:pathology*; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D011859:Radiography