Endoscopic Endonasal Surgery for the Resection of a Cavernous Hemangioma with a Sellar Extension

Cavernous hemangiomas with an intrasellar extension are very rare, generally benign lesions that manifest by the compression of nearby structures. The presenting symptoms usually range from visual disturbances to an endocrine imbalance. Occasional extension into the cavernous sinus has been reported...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 10; no. 11; p. e3663
Main Authors Khattar, Nicolas K, Adams, Shawn Wc, Schaber, Alexandra S, White, Andrew C, Al Ghamdi, Mohammed, Hruska, Rob T, Savage, Jesse J, Downs, Richard K, Hattab, Eyas M, Williams, Brian J
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 30.11.2018
Cureus
Subjects
Case reports
Cysts
Endoscopy
Hemangioma
Neurosurgery
NMR
Nuclear magnetic resonance
Pathology
Radiology
Surgery
Indiana
United States > US
cavernous hemangioma
endoscopic endonasal surgery
sellar lesion
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Summary:Cavernous hemangiomas with an intrasellar extension are very rare, generally benign lesions that manifest by the compression of nearby structures. The presenting symptoms usually range from visual disturbances to an endocrine imbalance. Occasional extension into the cavernous sinus has been reported, which can cause cranial nerve compression. We present the case of a 69-year-old man presenting with facial pain and decreased libido. On investigation, a lesion was identified and the parasellar region was homogeneously hyper-intense on gadolinium-enhanced magnetic resonance imaging (MRI). Endoscopic endonasal surgery remains one of the favored approaches for the resection of sellar lesions. Such pathology needs to remain on the neurosurgeon's differential diagnosis, making an intraoperative frozen section of these lesions a useful tool in the surgeon's armamentarium, to guide further surgical resection.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.3663