title: Sclerosing cavernous hemangioma of the cavernous sinus mimicking congenital fibrosis of the extraocular muscles.
abstract: A girl with a clinical presentation suggestive of unilateral congenital fibrosis of the extraocular muscles type 3 at 2 years of age years later developed progressive ophthalmoplegia and an afferent pupillary defect. Reimaging revealed a lesion diagnosed as a sclerosing cavernous sinus hemangioma with focal calcification. Cavernous sinus hemangioma is a rare, benign vascular malformation whose growth causes cranial nerve compression. Although frequently missed on routine neuroimaging, characteristic radiologic findings distinguish it from lesions such as meningioma.
authors.affiliation: Department of Ophthalmology, Stein Eye Institute.
authors.forename: Bhambi
authors.initials: B
authors.lastname: Gesite-de Leon
authors.affiliation: Department of Ophthalmology, Stein Eye Institute; Biomedical Engineering Interdepartmental Program; Neuroscience Interdepartmental Program; Department of Neurology, University of California, Los Angeles. Electronic address: jld@ucla.edu.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Demer
mesh_terms: D001763:Blepharoptosis / Q000175:diagnosis; D002426:Cavernous Sinus / Q000473:pathology*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D015785:Eye Diseases, Hereditary / Q000175:diagnosis; D005260:Female; D005355:Fibrosis; D018219:Histiocytoma, Benign Fibrous / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009801:Oculomotor Muscles / Q000473:pathology*; D009886:Ophthalmoplegia / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D000093922:Congenital Cranial Dysinnervation Disorders
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