15) Onerci et al discussed their experience in treating 12 cases of angiofibroma, 4 of which were classified as Radkowski IIIa tumors; in 2 of the 4 cases, the tumor was not removed completely because of its proximity to the cavernous sinus
1,2,4) A superomedial mass effect on the parasellar and cavernous sinus
areas can lead to clinical symptoms of palsies involving cranial nerves III through VI and dramatic nasopharyngeal hemorrhage via the sphenoid sinus.
CT angiography showed an eroded petrous apex and the cavernous sinus
portion of the internal carotid artery (ICA) on the left side (figure 2).
Vascular lesions such as aneurysms and cavernous carotid fistula (Figure 24) and cavernous sinus
thrombosis or thrombophlebitis can be seen in the cavernous sinus
Gamma knife radiosurgery appears effective in controlling and destroying benign cavernous sinus
tumors, according to a retrospective study presented at the annual meeting of the American Association of Neurological Surgeons.
The distribution of those complications in Gallaghar's retrospective analysis was as follows: epidural abscess 23%, subdural empyema 18%, meningitis 18%, cerebral abscess 14%, superior sagittal sinus thrombosis 9%, cavernous sinus
thrombosis 9%, and osteomyelitis 9%.
Symptoms occur when a mucocele impinges on surrounding structures, including cranial nerves II through VI, the dura mater, the anterior cranial fossa, the pituitary gland, the cavernous sinus
, the internal carotid artery, the pterygoid canal, the pterygoid nerve, the sphenopalatine artery, and the sphenopalatine ganglion.
Tolosa-Hunt syndrome (THS) is a rare disorder indicated by recurrent painful ophthalmoplegia caused by non-specific inflammation of the cavernous sinus
or superior orbital fissure (SOF).
Fractures or the shearing forces of severe head trauma may cause the internal carotid artery to be torn from its points of dural attachment and rupture, with resultant direct flow into the cavernous sinus
When cavernous sinus
thrombosis is present, eye pain, ophthalmoplegia, pupillary changes, and retinal hemorrhages may occur.
2] Intracranial locations may include the suprasellar region, the convexities, the parasagittal region, the cavernous sinus
, and the petroclival region.
A CT angiogram revealed the compromised left cavernous sinus
and cavernous portion of the internal carotid artery and, subsequently, cavernous sinus
thrombosis, confirmed clinically and on imaging.
6) An inflammatory mechanism has also been proposed, as a lesion in the ipsilateral cavernous sinus
could explain many of the symptoms of cluster headache.
Widely invasive solitary fibrous tumor of the sphenoid sinus, cavernous sinus
, and pituitary fossa.
Gamma knife radiosurgery for cavernous sinus
plasmacytoma in a patient with breast cancer history.