Gamma knife surgery for a hemangioma of the cavernous sinus in a child

Document Type

Article

Abstract

Cavernous sinus (CS) hemangiomas are rare vascular abnormalities that constitute 0.4%-2% of all lesions within the CS. Cavernous sinus hemangiomas are high-flow vascular tumors that tend to hemorrhage profusely during resection, leading to incomplete resection and high morbidity and mortality. While Gamma Knife surgery (GKS) has proven to be an effective treatment of CS hemangiomas in the adult population, few reports of GKS for treatment of CS hemangiomas exist in the pediatric literature. Here, the authors present the first case of a 15-year-old girl with a biopsy-proven CS hemangioma who achieved complete resolution of her symptoms and a complete imaging-defined response following GKS. If suspicion for a CS hemangioma is high in a pediatric patient, GKS may be considered as an effective treatment modality, thus avoiding the morbidities of open resection.

Medical Subject Headings

Adolescent; Biopsy; Female; Hemangioma, Cavernous, Central Nervous System (complications, pathology, surgery); Humans; Image Processing, Computer-Assisted; Magnetic Resonance Imaging; Neurosurgical Procedures; Paralysis (etiology); Postoperative Care; Radiosurgery (methods); Treatment Outcome

Publication Date

1-1-2013

Publication Title

Journal of neurosurgery. Pediatrics

E-ISSN

1933-0715

Volume

11

Issue

1

First Page

74

Last Page

8

PubMed ID

23082966

Digital Object Identifier (DOI)

10.3171/2012.9.PEDS12213

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