title: Glomangiopericytoma simulating an intracavernous meningioma.
abstract: BACKGROUND
  Glomangiopericytoma is an uncommonly encountered tumor of the nose and paranasal sinuses, accounting for <0.5% of all sinonasal tumors. Extension of these lesions to the anterior or middle cranial fossa is rare. When this occurs, diagnosing glomangiopericytoma is extremely challenging, as it is often confused with other anterior skull base tumors.
  
  
  METHODS
  We report a case of a giant glomangiopericytoma localizing into the cavernous sinus in a 48-year-old female who presented with mild left-sided ptosis for 48 months. The lesion simulated an intracavernous meningioma on preoperative imaging. An expanded endoscopic endonasal approach was used to debulk the portion of the lesion in the medial compartment of the cavernous sinus. Postoperatively, the patient's ptosis resolved completely, and no new deficits were sustained.
  
  
  CONCLUSIONS
  This is the only case of glomangiopericytoma localizing solely to the cavernous sinus reported to date.
authors.affiliation: College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
authors.forename: Hussam
authors.initials: H
authors.lastname: Abou Al-Shaar
authors.affiliation: Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Kristian I
authors.initials: KI
authors.lastname: Macdonald
authors.affiliation: Department of Neurosurgery, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Labib
keywords: Cavernous sinus; endoscopic approach; glomangiopericytoma; meningioma; sinonasal-type hemangiopericytoma