title: [Efficacy of surgical treatment for cavernous sinus hemangiomas].
abstract: OBJECTIVE
  to analyze the efficacy of surgical treatment for cavernous sinus hemangiomas (CSH).
  
  
  METHODS
  the data from 29 surgical CSH patients, 7 males and 22 females, aged 52 ± 9 years old, at our department were collected from 2003 to 2009 and analyzed retrospectively. The main presenting symptoms included headache (n = 15), impaired visual acuity (n = 9), diplopia (n = 7), ptosis (n = 2), facial paresthesia (n = 6), hemiparesis (n = 1) and infrequent menstruation (n = 4). MRI was major preoperative modality. All patients underwent craniotomy via frontotemporal approach with or without orbitozygomatic osteotomy. The tumor was removed through intradural approach in all patients.
  
  
  RESULTS
  total removal was achieved in 14 (48.3%) patients. And 13 (44.8%) and 2 (6.9%) patients had subtotal and partial procedures respectively. No postoperative death occurred. Follow-up study of 3 months to 6 years was conducted in 27 patients (93%). All headaches were relieved postoperatively. The central nervous symptoms improved in 12 patients. The neuroendocrine symptom had no improvement. The most common surgical complications included impaired visual acuity (n = 2, 6.9%), paralyses of oculomotor nerve (n = 17, 58.6%), abduct nerve (n = 8, 27.6%) and trigeminal nerve (n = 4, 13.8%). A MRI follow-up of 1 - 6 years was obtained in 16 patients without recurrence.
  
  
  CONCLUSIONS
  surgery is an effective management strategy for CSH. However, total tumor removal remains difficult. Complications such as cranial nerve injury are still rather troublesome.
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Lu
authors.forename: Ji-Zong
authors.initials: JZ
authors.lastname: Zhao
mesh_terms: D000328:Adult; D002426:Cavernous Sinus / Q000473:pathology*; D005260:Female; D020786:Hemangioma, Cavernous, Central Nervous System / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies