Imaging Features and Misdiagnosed Analysis of Cavernous Hemangioma of Cavernous Sinus
WU Jing
WANG Wen-sheng
CHENG Li-na
HE Peng
LIANG Qian-wen
Abstract：Objective To analyze imaging features, misdiagnosed causes and prevention methods of cavernous he-mangioma of cavernous sinus ( CHCS) . Methods Clinical and imaging data of 5 CHCS patients ( including 2 misdiagnosed patients) was retrospectively analyzed, and relevant literature was also reviewed. Results All patients were female, and the age was 34-56 years old, of whom 2 patients were misdiagnosed as having meningioma before operation, and the misdiagnosed time were 2 and 4 weeks respectively. Imaging examination showed that the 5 patients were solitary lesions, in which 3 lesions were located in the left cavernous sinus and 2 in the right cavernous sinus;4 lesions were grew across the internal and external sella turcica. Plain CT images for 2 patients showed that lesions were slightly high intensity. Magnetic resonance imaging (MRI) examination for 5 patients showed that low or slightly low signal on T1WI images, high signal and significantly high signal on T2WI images and obviously homogeneous enhanced on all enhanced MRI images. Among the 5 patients, 4 patients underwent partial excision and postoperative radiotherapy, and the rest patient underwent complete excision, and CHCS was confirmed by postoperatively pathological results. The prognosis was good in the 5 patients, and no recurrence was found dur-ing 2 years of follow-up. Conclusion CHCS has some special characteristics in imaging, and therefore clinicians should im-prove the understanding of imaging features and change scan model in order to decrease misdiagnosis rate.
Keywords：Hemangiomacavernouscentral nervous systemMisdiagnosisMeningiomaMagnetic resonance ima-gingTomographyspiral computed
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 14-17 )