Intrasellar cavernous hemangioma

Case report

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  • 1 Department of Surgery, Division of Neurosurgery, University of Alabama at Birmingham, Alabama; and Department of Neurosurgery, University of California at San Francisco, California
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✓ The authors present a rare entity, an intrasellar cavernous hemangioma that on neuroimages mimicked a nonfunctioning pituitary macroadenoma in a patient with a known orbital hemangioma. Such lesions can grow extraaxially within the dural sinuses, particularly the cavernous sinus, and present like tumors. A better understanding of the neuroimaging, clinical, and anatomical features of these lesions may prevent difficulties in management.

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Contributor Notes

Address reprint requests to: Charles S. Cobbs, M.D., Division of Neurosurgery, University of Alabama at Birmingham, MEB 515, 1813 Sixth Avenue South, Birmingham, Alabama 35294. email: cscobbs@uabmc.edu.
  • 1.

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  • 2.

    Buonaguidi R, , Canapicci R, & Mimassi N, et al: Intrasellar cavernous hemangioma. Neurosurgery 14:732734, 1984 Buonaguidi R, Canapicci R, Mimassi N, et al: Intrasellar cavernous hemangioma. Neurosurgery 14:732–734, 1984

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  • 3.

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  • 5.

    Lombardi D, , Giovanelli M, & de Tribolet N: Sellar and parasellar extra-axial cavernous hemangiomas. Acta Neurochir 130:4754, 1994 Lombardi D, Giovanelli M, de Tribolet N: Sellar and parasellar extra-axial cavernous hemangiomas. Acta Neurochir 130:47–54, 1994

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  • 7.

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  • 8.

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  • 9.

    Robinson JR, , Awad IA, & Litle JR: Natural history of the cavernous angioma. J Neurosurg 75:709714, 1991 Robinson JR, Awad IA, Litle JR: Natural history of the cavernous angioma. J Neurosurg 75:709–714, 1991

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  • 10.

    Sansone ME, , Liwnicz BH, & Mandybur TI: Giant pituitary cavernous hemangioma. Case report. J Neurosurg 53:124126, 1980 Sansone ME, Liwnicz BH, Mandybur TI: Giant pituitary cavernous hemangioma. Case report. J Neurosurg 53:124–126, 1980

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  • 11.

    Shi J, , Hang C, & Pan Y, et al: Cavernous hemangiomas in the cavernous sinus. Neurosurgery 45:13081314, 1999 Shi J, Hang C, Pan Y, et al: Cavernous hemangiomas in the cavernous sinus. Neurosurgery 45:1308–1314, 1999

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