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Visual Loss From Cavernous Hemangiomas of the Middle Cranial Fossa
David G. Harper, MD;
David R. Buck, MD;
Calvin B. Early, MD
Arch Neurol. 1982;39(4):252-254.
Abstract
• We studied a case of cavernous hemangioma of the middle cranial fossa. This rare tumor, of which only nine prior cases have been recorded, is characterized by insidious visual loss, multiple cranial nerve pareses, proptosis, papilledema, and bitemporal hemianopsia. Pituitary dysfunction has been noted in the more advanced cases. The female-male ratio has been 8:2; ages ranged from 30 to 62 years. The hemangiomas may occur on either side. Contrast-enhanced computed tomography can clearly demonstrate the presence of these lesions, but is not diagnostically specific. High-quality angiograms using magnification and subtraction techniques may show areas of dye retention in the cavernous spaces of the lesion. This tumor is amenable to successful excision, and early removal may prevent progressive visual loss.
Author Affiliations
From the Departments of Ophthalmology (Dr Harper), Radiology (Dr Buck), and Neurosurgery (Dr Early), National Naval Medical Center, Bethesda, Md.
Footnotes
Accepted for publication Aug 31, 1981.
Presented at the Thirteenth Annual Frank Walsh Society Meeting (formerly the Neuro-Ophthalmology Pathology Symposium), Houston, Feb 28, 1981.
The opinions and assertions contained herein are those of the authors and are not to be construed as official or as representing those of the Bureau of Medicine and Surgery of the Department of the Navy or of the Naval Service at large.
Reprint requests to Department of Ophthalmology, National Naval Medical Center, Bethesda, MD 20014 (Dr Harper).
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