Difficult Surgical Aspect of a Compressive Hemangioma of the Cavernous Sinus in a Neurosurgical ....

Sinuses cavernous Hemangiomas (CSH) are uncommon benign extra-axial tumours that primarily affect women in their forties and fifties. Headaches, abnormalities in vision, and paralysis of the cranial nerves are common symptoms caused by a mass effect [1]. They are responsible for 13% of all cerebral cavernous hemangiomas, 3% of all benign tumours in the cavernous sinus zone, 2% of all tumours in the cavernous sinus zone, and 0.4 percent to 2% of intracranial vascular malformations. Hemangioma in the cavernous sinus is a rare condition. They do not cross the corpus cavernosum's dural boundaries and can grow to great sizes without causing symptoms. Several brief series detail the management of HSC in the published literature, but despite advances in surgical procedures, they continue to represent a daunting challenge to surgical care, owing to the important neurovascular environment. Microsurgical resection, fractional irradiation, and stereotactic radiosurgery are some of the current therapeutic options; total resection is curable, but it comes at the cost of intraoperative haemorrhage and additional cranial nerve impairments [2,3]. The clinical presentation, imaging findings, and complicated surgical care of a patient with cavernous sinus disease are described here. The carotid artery's cavernous part was encircled by a hemangioma, making surgical excision difficult.

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