Transnasal endoscopic resection of a cavernous sinus hemangioma: technical note and review of the literature.
Objective/Importance: Hemangiomas of the cavernous sinus are rare lesions. Complete removal through a transcranial route often causes ocular motor palsies. Because the cranial nerves in the cavernous sinus are lateral to the carotid, a medial approach to the cavernous sinus may be less traumatic to the cranial nerves.


METHODS
A 50-year-old man with headaches, dizziness, diplopia, and magnetic resonance imaging that demonstrated a right cavernous sinus mass expanding into the sella and sphenoid sinus.


METHODS
A gross total removal of a cavernous sinus hemangioma was performed through an extended endoscopic transsphenoidal approach.


CONCLUSIONS
This is the first report of a complete removal of a cavernous sinus hemangioma using an endoscopic transnasal approach. The endoscopic transnasal approach to the medial cavernous sinus may be less traumatic than the transcranial route based on the lateral location of the cranial nerves.
Fraser
Justin F
JF
Department of Neurological Surgery, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, New York.
Mass
Alon Y
AY
Brown
Seth
S
Anand
Vijay K
VK
Schwartz
Theodore H
TH