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Journal of Korean Neurosurgical Society > Volume 9(2); 1980 > Article
Journal of Korean Neurosurgical Society 1980;9(2): 573-580.
A Case of Cavernous Hemangioma in the Middle Fossa.
Tae Sung Kim, Sheung Jin Kim, Young Keun Lee, Moon Ho Yang
1Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea.
2Department of Pathology, School of Medicine, Kyung Hee University, Seoul, Korea.
Cavernous hemangioma may occur in any region of the brain and very rarely in the extracerebral middle fossa. We present a case of the cavernous hemangioma in the middle fossa. A 37-year-old male was admitted to our department with visual impairment of the right eye and headache. On admission ophthalmological findings were abducens palsy, mild exophthalmos and almost visual loss in the right eye. Other neurological findings were within normal limits. Radiological findings were erosive change of sellar turcica, sphenoid ridge and petrosal bone in right side and thinning temporal squama bone on the simple skull series. Right carotid angiography showed medial and upward shifting of middle cerebral artery with avascular mass lesion at infrasylvian area. Computed Scan disclosed well localizing homogenous high density in the right middle fossa extending to pituitary fossa medially and to posterior fossa through erosion area of the medial petrosal bone. We performed subtotal removal of tumor because of profuse bleeding and confirmed cavenous hemangioma pathologically.
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