A Patient With Large Cavernous Hemangioma in the Cavernous Sinus Straddling the Saddle With Bilateral Optic Nerve Compression

J Craniofac Surg. 2022 Sep 1;33(6):e632-e636. doi: 10.1097/SCS.0000000000008701. Epub 2022 Aug 11.

Abstract

Background: This report describes the removal of a giant cavernous hemangioma while protecting the blood vessels and nerves to the greatest degree of safety, relieving the intracranial space, and relieving the symptoms of the patient.

Methods: Large cavernous hemangioma crossing into the cavernous sinus in a saddle surgery procedure was retrospectively analyzed, summarizing many cross-regional giant cavernous hemangioma treatments.

Results: The patient underwent non-en bloc resection of the tumor with rapid removal. The internal carotid artery and adjacent nerves were safely preserved.

Conclusion: Large cavernous hemangiomas spanning from the cavernous sinus to the area of the butterfly saddle require complete evaluation, and appropriate surgical entry should be selected. With the surgeon having rich surgical experience, the operation can protect the patient's neurological function.

MeSH terms

  • Carotid Artery, Internal
  • Cavernous Sinus* / diagnostic imaging
  • Cavernous Sinus* / pathology
  • Cavernous Sinus* / surgery
  • Hemangioma, Cavernous* / diagnostic imaging
  • Hemangioma, Cavernous* / surgery
  • Humans
  • Optic Nerve
  • Optic Nerve Diseases*
  • Retrospective Studies