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OBJECT The internal auditory canal is a rare form of tumor, and only 50 cases have been reported in the literature prior to this investigation. METHODS 6 patients with cavernous hemangioma of the IAC were included in the study. Both patients were diagnosed with sensorineural hearing loss and tinnitus, and two others suffered from vertigo. Four patients showed a history of facial pains related to hemispasm or palsy: 3 had progressive facial dysplasia, 1 had a hemispasm, and 1 had a history of facial paresis. All patients underwent CT and MRI to rule out intracanalicular vestibular schwannomas and facial nerve neuromas. RESULTS All patients had a presurgical diagnosis of cavernous hemangioma of the IAC, which had been confirmed pathologically in the 5 patients undergoing surgical removal of the tumor. In the case of a patient who had functional hearing, the translabyrinthine technique was used to remove the tumor in four patients, while the middle cranial fossa technique was used in the 1 patient with functional hearing. In all five patients, complete hearing loss occurred. In three patients, the facial nerve could not be distinguished from the tumor, and primary end-to-end anastomosis was performed. In 2 patients, intact facial nerve regeneration was achieved. Both patients showed some degree of improvement in facial nerve function. Early surgical intervention can maintain the facial nerve's functional stability and result in a healthier after nerve transplantation.
Source link: https://doi.org/10.3171/2015.3.jns142785
MetHODS An international multicenter study was carried out to analyze outcome results in 31 patients with CSH. Eleven patients had initial microsurgery before SRS, and the other 20 patients underwent Gamma Knife SRS as the primary treatment for their CSH. Patients were given a median tumor margin dose of 12. 6 Gy at a median isodose of 55%. RESULTS Tumor regression was confirmed by imaging in all 31 patients, and all patients saw a greater than 50 percent decrease in tumor volume at 6 months post-SRS. Before SRS, twenty-four patients had cranial nerve disorders, and 6 of them had gradual improvement. At the last follow-up, four of the six patients with orbital symptoms had symptomatic relief. SRS is a safe primary and adjuvant therapy strategy for patients in whom a CSH is diagnosed, according to the authors' experience.
Source link: https://doi.org/10.3171/2016.4.jns152097
The patient was found with signs and symptoms relating to jugular foramen syndrome, as well as a right neck mass. The lesion's surgical excision was carried out by a multidisciplinary team, with simultaneous high neck dissection and a closure, buttressed with an autologous fat graft and a temporoparietal fascial flap. In the differential diagnosis of jugular foramen masses, only cavernous hemangiomas should be included.
Source link: https://doi.org/10.3171/2018.1.jns172934
Although Gamma Knife surgery has been a success in the adult population for CS hemangiomas, few reports of GKS for the treatment of CS hemangiomas have been found in the pediatric literature. If suspicion of a CS hemangioma in a pediatric patient is high, GKS may be considered a safe treatment option, avoiding the morbidities of open resection.
Source link: https://doi.org/10.3171/2012.9.peds12213
The authors explore the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone, as well as differences in infant diagnosis of these extremely rare lesions. Only one instance of an infant with a calvarial cavernous hemangioma without intracranial invasion has been reported, and that involved a 4 month old child.
Source link: https://doi.org/10.3171/2008.10.peds08161
Case Study: A 68-year-old woman was greeted with persistent epistaxis and progressive right malar fullness. A bulge lesion was found in the right nasal cavity on rhinoscopy with multifocal hemorrhagic and friable surfaces. A well-defined mass in the right maxillary sinus with inhomogenous T2 hyperintensity, hypointense septa, peripheral rim, and multiple papillary expansions, suggesting a recurrent hemorrhagic mass. Conclusion: Imaging studies, such as CT and MRI, are vital in aiding in the diagnosis of cavernous sinus hemangioma.
Source link: https://doi.org/10.2174/1573405618666220218104156
Background: Primary intraosseous cavernous hemangioma is a benign tumor that slows development and is seldom seen in clinics. Case description at the frontoparietal junction We present a 30-year-old female patient with cavernous hemangioma at the frontoparietal junction. The right frontal lobe mass was gradually increased for three years following admission, but it required lesion resection and stage I skull reconstruction. Currently, complete surgical resection of the tumor is the most common and preferred treatment.
Source link: https://doi.org/10.3389/fsurg.2022.972641
Intraosseous hemangiomas are one of the rarest bone tumors that an orthopedic surgeon encounters, particularly in the long bones. Case Presentation: We present a case of a 38-year-old female who presented with long-running pain and swelling in her left knee. Radiology, in the form of plain radiographs and magnetic resonance imaging, narrowed the diagnosis down to a benign form of osteoblastoma or hemangioma. The patient underwent radical excision of the lytic lesion, as well as a swath of the surrounding normal bone, with this in mind. The defect was brimming bone grafting and supplemented by a hydroxyapatite block and a poly ether ketone plate. We show how to handle a patient with related symptoms and provide a detailed outline of an effective patient management approach that has delivered positive results.
Source link: https://doi.org/10.13107/jocr.2022.v12.i05.2834
BACKGROUND Orbital angioleiomyoma is generally thought of as a rare disease; around 40 cases have been reported. The authors do speculate that the incidence of orbital angioleiomyomas is possibly underestimated following their three-year experience with six consecutive cases in a single hospital for three years. Positive perfusion was evident in the late blood-pool phase, which was almost identical to the finding of a cavernous hemangioma. The final diagnosis was an angioleiomyoma with positive immunostaining findings for smooth muscle actin, according to pathological testing results. Lessons The incidence of orbital angioleiomyomas may not be low, but these lesions may have been misdiagnosed as orbital cavernous hemangiomas due to their histological similarity. Because of the rarity of orbital angioleiomyoma and similar radiological findings, preoperative presumption and differentiation from cavernous hemangiomas are extremely difficult. Angioleiomyomas can be distinguished from cavernous hemangiomas by orbital angioleiomyomas.
Source link: https://doi.org/10.3171/case2172
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