Intrasellar cavernous hemangioma.
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.
Chuang
Chi-Cheng
CC
Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan, ROC.
Jung
Shih-Ming
SM
Yang
Jen-Tsung
JT
Chang
Chen-Nen
CN
Pai
Ping-Ching
PC
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