Document Detail

Cavernous hemangioma of the sphenoid sinus: case report and review of the literature.
MedLine Citation:
PMID:  11311917     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Few cases of paranasal sinus cavernous hemangiomas have been reported in the literature. We report the first case of cavernous hemangioma of the sphenoid sinus and discuss therapeutic considerations and differential diagnosis. CASE DESCRIPTION: A case of sphenoid sinus tumor in a 67-year-old woman is reported. The initial symptoms were a horizontal diplopia, a left facial dysesthesia, and a recent history of unusual headache. Physical examination revealed a left VIth nerve paresis. A CT scan was performed showing a hypodense homogeneous mass in the sphenoid sinus that was not enhanced after administration of contrast medium. MR study demonstrated on T1-weighted image an isointense nonenhancing homogeneous mass filling the sphenoid sinus. On T2-weighted images the tumor mass displayed a mild hyperintense signal. The patient was operated on via a transsphenoidal approach with total removal of the tumor. Pathological findings were consistent with a nonosseous cavernous hemangioma. MR imaging performed 5 years later was still normal. CONCLUSION: The clinicoradiological and pathological features of this entity are described, and the literature reviewed.
H Dufour; J Fesselet; P Métellus; D Figarella-Branger; F Grisoli
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Surgical neurology     Volume:  55     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-20     Completed Date:  2001-05-17     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  169-73; discussion 173     Citation Subset:  IM    
Department of Neurosurgery, Timone Hospital, Marseille, France.
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MeSH Terms
Diagnosis, Differential
Headache / etiology
Hemangioma, Cavernous / diagnosis,  pathology*,  surgery
Magnetic Resonance Imaging
Middle Aged
Paranasal Sinus Neoplasms / diagnosis,  pathology*,  surgery
Paresthesia / etiology
Sphenoid Sinus / pathology*,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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