title: Intrasellar cavernous hemangioma.
abstract: Reports of intrasellar cavernous hemangioma are rare. They are usually incidental findings at autopsy, or initially mistaken for pituitary adenoma and treated accordingly. There are no specific symptoms. Cranial nerve palsy has occasionally been reported in patients with cavernous hemangioma, with or without sellar extension. However, intrasellar cavernous hemangioma with extension into the cavernous sinus resulting in oculomotor palsy has not been reported. We present a rare case of intrasellar cavernous hemangioma and discuss the diagnosis and management. Total surgical removal is recommended. However, attempts to resect the parasellar component of the lesion may be associated with high morbidity. Therefore, surgical cranial nerve decompression in the acute stage followed by stereotactic radiosurgery for the residual lesion may be an alternative.
authors.affiliation: Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan, ROC.
authors.forename: Chi-Cheng
authors.initials: CC
authors.lastname: Chuang
authors.forename: Shih-Ming
authors.initials: SM
authors.lastname: Jung
authors.forename: Jen-Tsung
authors.initials: JT
authors.lastname: Yang
authors.forename: Chen-Nen
authors.initials: CN
authors.lastname: Chang
authors.forename: Ping-Ching
authors.initials: PC
authors.lastname: Pai
mesh_terms: D005260:Female; D020786:Hemangioma, Cavernous, Central Nervous System / Q000473:pathology / Q000601:surgery; D006801:Humans; D007016:Hypophysectomy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery; D016634:Radiosurgery / Q000379:methods; D012658:Sella Turcica / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D019043:Vascular Neoplasms / Q000473:pathology / Q000601:surgery