Maruishi M, Shima T, Okada Y, Nishida M, Yamane K, Okita S
Department of Neurosurgery, Inokuchi Hospital, Hiroshima.
Neurol Med Chir (Tokyo). 1994 Nov;34(11):773-7. doi: 10.2176/nmc.34.773.
A 71-year-old female presented with a syncopal attack. She underwent surgery for what appeared to be a meningioma. However, a small incision in the dura mater caused severe bleeding. Histological examination of the biopsy specimen showed sinus cavernoma with an incomplete pseudocapsule. The dura mater encapsulated the cavernous sinus cavernoma, explaining the severe bleeding from the dural incision. She was treated with Linac irradiation (40 Gy) which resulted in a decrease in tumor size. Radiation therapy is indicated for the treatment of cavernous sinus cavernoma, especially if associated with severe intraoperative bleeding.
一名71岁女性出现晕厥发作。她接受了手术，切除的肿瘤看似是脑膜瘤。然而，硬脑膜上的一个小切口导致了严重出血。活检标本的组织学检查显示为海绵状血管瘤，假包膜不完整。硬脑膜包裹着海绵窦海绵状血管瘤，这解释了硬脑膜切口处的严重出血。她接受了直线加速器放疗（40 Gy），肿瘤大小有所减小。放射治疗适用于海绵窦海绵状血管瘤的治疗，尤其是伴有术中严重出血的情况。
