Cavernous Hemangioma of the Cavernous Sinus, Skin, and Retina: Hemodynamic Changes after Treatment: Case Report

Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E952-E952 ◽  
Author(s):  
M. Javad Mirzayan ◽  
H. Holger Capelle ◽  
Alexandru C. Stan ◽  
Friedrich Goetz ◽  
Joachim K. Krauss
Keyword(s):  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Clinical Presentation ◽  
Hemodynamic Changes ◽  
Subsequent Increase ◽  
Parasellar Region ◽  
Cavernous Hemangiomas ◽  
Oculomotor Disturbances ◽  
The Right ◽  
Oculomotor Nerves

Abstract OBJECTIVE There are several reports concerning cavernous hemangiomas of the skin and central nervous system. Additional retinal involvement has also been reported. CLINICAL PRESENTATION The authors report a 69-year-old woman with a giant extra-axial cavernous hemangioma of the right cavernous sinus involving the supra- and parasellar region, retina, and skin. INTERVENTION Shrinkage of its cutaneous part lead to subsequent increase of the volume of the intracranial part. Owing to compression of the optic and the oculomotor nerves, oculomotor disturbances, ptosis, and visual impairment to 0.2 occurred. Via a pterional approach microsurgical removal of the tumor except for a remnant of the intracavernous part was performed. CONCLUSION Hemodynamic connection between cutaneous, retinal, and intracranial hemangiomas should be considered.

scholarly journals Cavernous hemangioma of the lung

2011 ◽  
Vol 64 (5-6) ◽  
pp. 327-330 ◽  
Author(s):  
Aleksandra Lovrenski ◽  
Milana Panjkovic ◽  
Zivka Eri ◽  
Istvan Klem ◽  
Golub Samardzija ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Clinical Course ◽  
Bronchial Biopsy ◽  
Immunohistochemical Examination ◽  
Massive Haemoptysis ◽  
Cavernous Hemangiomas ◽  
Asymptomatic Case ◽  
The Right ◽  
Tomography Scan ◽  
Mediastinal Pleura

Introduction. Cavernous hemangiomas are benign vascular tumours rarely described in the lungs. Symptoms include respiratory distress, cardiac failure and massive haemoptysis, but they are mostly asymptomatic. Case report. A 67-year-old woman was referred to our institute and treated for pneumonia. A computed tomography scan of the thorax showed an infiltrative mass about 46mm in its greatest dimension in the right upper lobe. The mass was in contact with the mediastinal pleura. Since bronchial biopsy and FNAC did not reveal the aetiology of the lesion, the video-assisted thoracic surgery with right anterolateral thoracotomy and enucleation was performed. The intraoperative and postoperative patohistological study showed cavernous hemangioma and this diagnosis was confirmed on immunohistochemical staining. Conclusion. In spite of its benign behaviour and mostly asymptomatic clinical course it is necessary to consider cavernous hemangioma in the differential diagnosis of other pulmonary lesions. The definitive diagnosis can be made only by histopathological and immunohistochemical examination.

Conservative management of cavernous sinus cavernous hemangioma in pregnancy

2014 ◽  
Vol 120 (6) ◽  
pp. 1309-1312 ◽  
Author(s):  
Jessica S. Haber ◽  
Kartik Kesavabhotla ◽  
Malte Ottenhausen ◽  
Imithri Bodhinayake ◽  
Marc J. Dinkin ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Surgical Intervention ◽  
Pregnant Patient ◽  
Mass Effect ◽  
Lesion Size ◽  
Nonsurgical Management ◽  
Postpartum Involution ◽  
Cavernous Hemangiomas ◽  
In Pregnancy

Cavernous sinus cavernous hemangiomas in pregnancy are extremely rare lesions. The precise management of these lesions remains unknown. The authors present a case of a cavernous hemangioma in pregnancy, centered within the cavernous sinus that underwent postpartum involution without surgical intervention. A 34-year-old pregnant patient (gravida 1, para 0) presented to an otolaryngologist with persistent headache and left-sided facial pain and numbness in the V1 distribution. While being treated for sinusitis, her symptoms progressed to include a left-sided oculomotor palsy and abducens palsy. Magnetic resonance imaging without contrast revealed an expansile mass within the left cavernous sinus consistent with a cavernous hemangioma. The patient was evaluated by a neurosurgeon who recommended close follow-up and postpartum imaging without surgical intervention. Although the lesion enlarged during pregnancy, the patient was able to undergo an uncomplicated cesarean section at 37 weeks. All facial and ocular symptoms resolved by 9 months postpartum, and MRI showed a decrease in lesion size and reduced mass effect. The authors conclude that nonsurgical management may be a viable approach in patients who have an onset or exacerbation of symptoms associated with cavernous sinus cavernous hemangiomas during pregnancy because postpartum involution may negate the need for surgical intervention.

scholarly journals Intrasellar Cavernous Hemangioma, a Rare Condition Causing Both Radiological And Clinical Difficulties- a Case Report

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A589-A590
Author(s):  
Andrzej Jerzy Nowak ◽  
Anna Grochowska ◽  
Dariusz Adamek ◽  
Magdalena Godlewska ◽  
Marcin Motyka ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Sella Turcica ◽  
Tumor Board ◽  
Oculomotor Nerve Palsy ◽  
Tumor Mass ◽  
Cavernous Hemangiomas

Abstract Introduction: Intrasellar cavernous hemangiomas constitute an extremely rare group of findings in endocrinological practice. Diagnosis remains challenging due to non-characteristic symptoms and neuroradiological features which may resemble those of pituitary adenomas. Presentation of the Case: We present a case of female born in 1941, diagnosed with a hemangioma cavernosum located in the Sella turcica. In 2004 our patient presented with uncharacteristic symptoms: syncopes and chronic headaches. Computed tomography (CT) of the head revealed an intrasellar hyperdense tumor mass with radiological features suggesting a pituitary adenoma. In 2005 the patient underwent transcranial resection of the sellar mass, with subsequent oculomotor nerve palsy. In histopathological examination, diagnosis of cavernous hemangioma was determined. Between 2005 and 2020 patient was asymptomatic, with multiple follow-up head MRIs scans, showing gradual progression in size of the intrasellar tumor. The patient was consulted by a neurosurgeon, with no direct indications for surgical approach found. Furthermore, due to suprasellar expansion into the direct proximity of the right optic nerve, the patient was disqualified for Gamma-Knife radiotherapy. The last MRI of the hypothalamic-pituitary area in 2020 revealed a polycyclic, homogeneous, 33x31x29 mm mass, filling in the space of the Sella turcica, with strong enhancement after contrast administration. Invasion of the surrounding structures, including the clivus, right cavernous sinus and right trigeminal cave were described. Bilaterally, internal carotid arteries and right optic nerve adhered directly to the lesion. Pituitary gland was compressed by the tumor mass. In July 2020, in order to verify the ambiguous radiological and clinical characteristics of the lesion including tumor regrowth and its invasiveness, a transsphenoidal partial resection was performed. Tissue samples were collected for the histopathological examination, which confirmed the initial diagnosis of cavernous hemangioma originating from the cavernous sinus. During a multidisciplinary tumor board, having taken into consideration relatively stable clinical condition and high risk possible surgical complications, the patient was currently disqualified from neurosurgical re-operation nor radiotherapy. Surprisingly, during whole follow up, patients pituitary function remained unimpaired. A watchful waiting approach, with radiological and endocrinological follow up were scheduled. Conclusion: To date, only few cases of intrasellar cavernous hemangiomas have been reported. Intrasellar hemangiomas may originate from the vascular tissue of the cavernous sinus. Surgical removal remains the recommended treatment modality, but radiosurgery could be a therapeutic option as well. Stable patients with no clinical symptoms may remain in observation.

scholarly journals Cushing’s Syndrome Associated With an Adrenal Cavernous Hemangioma

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A126-A126
Author(s):  
Jubran Afzal Khan Rind ◽  
Zeb Ijaz Saeed
Keyword(s):  
Abdominal Pain ◽  
Cushing’S Syndrome ◽  
Cavernous Hemangioma ◽  
Adrenal Mass ◽  
Open Cholecystectomy ◽  
Cushing's Syndrome ◽  
Benign Tumors ◽  
Free Cortisol ◽  
Cavernous Hemangiomas ◽  
The Right

Abstract Introduction: Adrenal cavernous hemangiomas are rare benign tumors that arise from vascular endothelium and are often discovered incidentally on abdominal imaging. The majority are nonfunctioning; however, we present a case of adrenal Cushing’s syndrome in a patient with a cavernous adrenal hemangioma. Case: A 72-year-old woman was referred for an incidental right adrenal mass. On questioning, she endorsed abdominal pain, sixty-pound unintentional weight gain over five years, truncal obesity, and easy bruising. Past medical history was relevant for hypertension. Her surgical history was extremely complicated, having had a perforated peptic ulcer, open cholecystectomy complicated by injury to the right ureter, incisional hernia repair, appendectomy, and hysterectomy with bilateral salpingo-oophorectomy. She was first noted to have a right adrenal mass on a CT done eight years ago, measuring 3.8 x 3.2 cm. A repeat CT abdomen and pelvis now showed this mass to be 6.5 x 6.3 x 8.1 cm with unenhanced Hounsfield units of 29.6. Radiographically, this was a heterogeneous, solid, and cystic appearing mass with peripheral brisk arterial enhancement areas, which appeared to fill in on delayed imaging. The enhancement pattern of the lesion was consistent with an adrenal cavernous hemangioma. An MRI of the abdomen also demonstrated similar peripheral nodular enhancement favoring an adrenal cavernous hemangioma. Functional testing for the adrenal mass was undertaken. Morning cortisol was 23.4 mcg/dl with ACTH low at 5.3 pg/ml, and DHEA-S 3 mcg/dl. She failed to suppress with overnight 1 mg dexamethasone with AM cortisol of 3.6 mcg/dl. Midnight salivary cortisol levels were high at 0.237 mcg/dl and 0.419 mcg/dl while a 24-hour urine free cortisol was normal at 15.2 mcg/d. She tested negative for pheochromocytoma and primary aldosteronism. The patient was deemed a poor surgical candidate due to her history of multiple prior abdominal surgeries and a BMI of 46. Therefore, she underwent an IR angioembolization of the right adrenal mass instead. On follow-up CT, there was no significant change in the size of the lesion; however the degree of rim enhancement was slightly decreased. Post procedurally, her a.m. cortisol remained high-normal at 18.3 mcg/dL.. She is currently enrolled in a study for medical treatment of Cushing’s syndrome. Discussion: Adrenal cavernous hemangiomas usually present incidentally in the 6th-7th decade of life with a female predominance. These lesions are often asymptomatic; however, abdominal pain is the most common presenting symptom. The majority of adrenal cavernous hemangiomas are hormonally quiescent and mineralocorticoid excess and/or subclinical Cushing’s syndrome is exceedingly rare. Our patient is unique in her presentation of adrenal Cushing’s with this lesion and the novel use of angioembolization to decrease the size of this vascular tumor.

scholarly journals Giant cavernous hemangioma of the right atrium

2021 ◽  
Author(s):  
Ivilin Todorov ◽  
Zdravka P. Todorova ◽  
Dimitar P. Nikolov
Keyword(s):  
Cavernous Hemangioma ◽  
Right Atrium ◽  
Clinical Case ◽  
Abdominal Discomfort ◽  
Heart Tumor ◽  
Cavernous Hemangiomas ◽  
The Right ◽  
Thoracic And Abdominal

Cardiac hemangiomas as a primary heart tumor are extremely rare. We present a clinical case of a 54-year-old woman with atypical thoracic and abdominal discomfort and cavernous hemangiomas of the right atrium and the liver.

scholarly journals Multiple cavernous hemangiomas of the orbit: Separate occurrence within a 24-year period

2010 ◽  
Vol 67 (6) ◽  
pp. 507-510 ◽  
Author(s):  
Mirjana Nagulic ◽  
Igor Nikolic ◽  
Emilija Manojlovic-Gacic ◽  
Milica Skender-Gazibara
Keyword(s):  
Cavernous Hemangioma ◽  
Tumor Recurrence ◽  
Benign Tumor ◽  
De Novo ◽  
Clinical Signs ◽  
Orbital Tumors ◽  
Complete Excision ◽  
Cavernous Hemangiomas ◽  
The Right

Background. Cavernous hemangioma is a frequent and the most common, primary, benign tumor of the orbit in adults. It is typically single and unilateral, considered not to recur after having been completely excised. Multiple orbital cavernous hemangiomas without signs of hemangiomatosis are rare. Multiple cavernous hemangiomas may recur after a complete excision and may exist with concurrent systemic tumors. Tumor recurrence is supposed to develop from vasculature that is present already in response to a proliferate stimulus. Case report. A 39-year old female with painless proptosis of the right orbit was found to have four orbital tumors. The first orbitotomy was performed in 1984 by excising four cavernous hemangiomas. Six years later, another, the fifth one cavernous hemangioma was totally excised from the same orbit. Nine years after the first operation, reorbitotomy was performed because of positive radiological and clinical signs of de novo tumor in the orbit. The operation did not confirm the tumorous tissue. The fourth orbitotomy was performed 24 years after the first operation and two cavernous hemangiomas were totally excised. Conclusion. This case show the possibility of cavernous hemangioma recurrence after a previously totally excised tumor, separated more than two decades. A very long follow-up of the patients operated for these benign tumor lesions is recommended.

Cavernous Hemangioma in the Cavernous Sinus: Case Report

Neurosurgery ◽  
1990 ◽  
Vol 26 (1) ◽  
pp. 126-128 ◽  
Author(s):  
Yutaka Sawamura ◽  
Nicolas de Tribolet
Keyword(s):  
Case Report ◽  
Optic Neuritis ◽  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Visual Function ◽  
Total Removal ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Retrobulbar Optic Neuritis ◽  
The Right

Abstract The case of a middle-aged woman with a cavernous hemangioma of the right cavernous sinus who showed ipsilateral hemianopsia associated with contralateral blindness caused by left retrobulbar optic neuritis is presented. Total removal of the tumor was followed by recovery of the visual function of the right eye. (Neurosurgery 26:126-128, 1990)

Gamma knife radiosurgery for cavernous hemangiomas in the cavernous sinus

2002 ◽  
Vol 97 ◽  
pp. 477-480 ◽  
Author(s):  
Naoki Nakamura ◽  
Masahiro Shin ◽  
Masao Tago ◽  
Atsuro Terahara ◽  
Hiroki Kurita ◽  
...  
Keyword(s):  
Gamma Knife ◽  
Cavernous Sinus ◽  
Cavernous Hemangioma ◽  
Gamma Knife Radiosurgery ◽  
Vascular Tumor ◽  
Treatment Modalities ◽  
Surgical Removal ◽  
Intraoperative Bleeding ◽  
Content Type ◽  
Cavernous Hemangiomas

✓ A cavernous hemangioma occurring in the cavernous sinus is a rare vascular tumor that causes cranial nerve symptoms by direct compression. Surgical removal is often difficult because excessive intraoperative bleeding is expected. These lesions remain a therapeutic challenge even with state-of-the-art treatment modalities. The authors report three cases of cavernous hemangioma occurring in the cavernous sinus that were treated with gamma knife radiosurgery, with a mean patient age of 66 years and a mean tumor volume of 2.3 cm3.

scholarly journals Rare cavernous hemangioma of adrenal gland: case report

2014 ◽  
Vol 132 (4) ◽  
pp. 249-252 ◽  
Author(s):  
Li Wang ◽  
Yiwu Dang ◽  
Rukun He ◽  
Gang Chen
Keyword(s):  
Adrenal Gland ◽  
Cavernous Hemangioma ◽  
Clinical Presentation ◽  
Surgical Removal ◽  
Resonance Imaging ◽  
Form Part ◽  
Cavernous Hemangiomas ◽  
History Of ◽  
Adrenal Masses ◽  
One Year

CONTEXT:Cavernous hemangiomas of the adrenal gland are rare benign neoplastic tumors. The clinical presentation of adrenal hemangiomas is usually vague, and they are often discovered incidentally through imaging examination s performed for other reasons.CASE REPORT:We report the case of a non-functional adrenal hemangioma found incidentally in a 37-year-old man with a one-year history of headache and hypertension. A right adrenal mass was detected by means of magnetic resonance imaging. Physical examination and all laboratory values were unremarkable. The patient underwent laparoscopic right adrenal gland resection. Histopathological evaluation confirmed adrenal cavernous hemangioma.CONCLUSIONS:Most occurrences of cavernous hemangiomas of the adrenal gland are non-functional and often discovered incidentally. Although rare, these unusual benign adrenal masses should form part of the differential diagnosis of adrenal neoplasms. The proper treatment for adrenal cavernous hemangioma is surgical removal.

scholarly journals Stereotactic Body Radiotherapy of a Solitary Metachronous Sphenoid Metastasis from Renal Cell Cancer: A Case Report

2021 ◽  
pp. 269-273
Author(s):  
Charles Marchand Crety ◽  
Estelle Vigneau ◽  
Camille Invernizzi
Keyword(s):  
Renal Cell Cancer ◽  
Renal Cell ◽  
Stereotactic Body Radiation Therapy ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Cell Cancer ◽  
Papillary Renal Cell Carcinoma ◽  
Complete Response ◽  
Resonance Imaging ◽  
The Right

Nasosinus metastases from kidney cancer are an unusual clinical presentation although some cases are reported in the literature. Among these cases, sphenoidal metastases are even rarer. Here we report a case of lone sphenoid metastasis in patients with papillary renal cell cancer. Eight months after radical nephrectomy, the patient presented with progressively worsening diplopia. Magnetic resonance imaging showed a mass in the right sphenoid sinus. Histopathological examination of the biopsy sample confirmed diagnosis of sinonasal metastasis from papillary renal cell carcinoma. The patient was declined for surgical management and received stereotactic body radiation therapy. Reassessment MRI at 4 months showed a complete response of the treated sphenoid lesion.

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