Harper D G, Buck D R, Early C B
Arch Neurol. 1982 Apr;39(4):252-4. doi: 10.1001/archneur.1982.00510160058014.
We studied a case of cavernous hemangioma of the middle cranial fossa. This rare tumor, of which only nine prior cases have been recorded, is characterized by insidious visual loss, multiple cranial nerve pareses, proptosis, papilledema, and bitemporal hemianopsia. Pituitary dysfunction has been noted in the more advanced cases. The female-male ratio has been 8:2; ages ranged from 30 to 62 years. The hemangiomas may occur on either side. Contrast-enhanced computed tomography can clearly demonstrate the presence of these lesions, but is not diagnostically specific. High-quality angiograms using magnification and subtraction techniques may show areas of dye retention in the cavernous spaces of the lesion. This tumor is amenable to successful excision, and early removal may prevent progressive visual loss.
我们研究了一例中颅窝海绵状血管瘤。这种罕见的肿瘤，此前仅记录过9例，其特征为隐匿性视力丧失、多条颅神经麻痹、眼球突出、视乳头水肿和双颞侧偏盲。在病情较严重的病例中已注意到垂体功能障碍。男女比例为8:2；年龄范围在30至62岁之间。血管瘤可发生于任何一侧。增强计算机断层扫描能清晰显示这些病变的存在，但并非具有诊断特异性。使用放大和减影技术的高质量血管造影可能显示病变海绵状间隙中的造影剂滞留区域。这种肿瘤适合成功切除，早期切除可预防视力进行性丧失。
