Neurosurgical Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Neurosurgical Department, Hospital A. Padilla, Tucumán, Argentina.
Neurol India. 2022 May-Jun;70(3):992-995. doi: 10.4103/0028-3886.349630.
Cavernous sinus hemangiomas (CSHs) are intracranial extradural benign, well-demarcated neoplasms arising within dural sinuses. The orbital apex and superior orbital fissure (SOF) are common locations for these lesions. Because of the complex anatomy of this area and potential morbidity, SOF CSH surgical management is challenging.
Describe a case of a SOF CSH and review of literature.
We present the case of a 44-year-old female with a 2-month history of right eye visual disturbances. A contrast-enhanced magnetic resonance imaging showed a right orbital apex nodular formation. A pterional craniotomy with a middle fossa mini peeling was performed.
Gross total resection was accomplished. No recurrences were observed 2 years after surgery.
SOF CSH should be included in a differential diagnosis in cases of space-occupying orbital apex lesions with atypical features. Surgery is the gold standard treatment. Radiosurgery is a valid option for tumor remnants.
海绵窦血管瘤（CSH）是颅内硬脑膜外良性、边界清楚的肿瘤，起源于硬脑膜窦。眶尖和眶上裂（SOF）是这些病变的常见部位。由于该区域的复杂解剖结构和潜在的发病率，SOF CSH 的手术治疗具有挑战性。
描述一例 SOF CSH 病例并复习文献。
我们报告了一例 44 岁女性，其右眼视觉障碍病史为 2 个月。增强磁共振成像显示右侧眶尖结节形成。行翼点开颅术并进行中颅窝小剥离。
实现了大体全切除。术后 2 年无复发。
对于具有非典型特征的占位性眶尖病变，应考虑 SOF CSH 作为鉴别诊断。手术是金标准治疗。放射外科是肿瘤残余的有效选择。
