Hemorrhagic Cavernous Sinus Hemangioma with Sudden-Onset Abducens Palsy

Publication date: April 2018
Source:World Neurosurgery, Volume 112
Author(s): Fumihiko Nishimura, Young-Soo Park, Ichiro Nakagawa, Shuichi Yamada, Hiroyuki Nakase, Yasushi Nagatomo
BackgroundWe report a rare case of hemorrhagic cavernous sinus hemangioma with sudden onset of abducens palsy.Case DescriptionsSudden onset of diplopia occurred in a 49-year-old female. Head computed tomography findings revealed a high-density mass in the right cavernous sinus with protrusion to the sphenoid sinus. Endoscopic endonasal surgery was performed, though early recurrence was noted. A Gamma Knife surgical procedure was then performed to prevent early recurrence after histopathologic confirmation of cavernous sinus hemangioma. Thereafter, the tumor was controlled and abducens palsy disappeared.ConclusionsFor treatment of cavernous sinus hemangioma, stereotactic radiosurgery should be considered as primary or adjuvant treatment in the very early phase after removal, to avoid early recurrence.



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