A new classification and clinical results of Gamma Knife radiosurgery for cavernous sinus hemangiomas: a report of 53 cases

Tang, Xuqun; Wu, Hanfeng; Wang, Binjiang; Zhang, Nan; Dong, Ya-Fei; Ding, Jianbo; Dai, Jiazhong; Yu, Tonggang; Pan, Li

doi:10.1007/s00701-015-2417-5

Cited by 25 publications

(14 citation statements)

References 39 publications

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“…Studies have reported dysesthesia in 0-16%, paresthesia in 0-13%, deafferentation pain in 0-3.3%, dry eye syndrome in 0-22.4%, and keratitis in 0-7%. [44][45][46][47] Complications were not associated with the prior procedure in previous studies, which is consistent with our results. [48][49][50] This may be due to some differences in the mechanisms of complications in destructive procedures, such as GKRS, versus nondestructive procedures, such as MVD.…”

Section: Complications Of Gkrssupporting

confidence: 93%

Gamma Knife Radiosurgery on the Trigeminal Root Entry Zone for Idiopathic Trigeminal Neuralgia: Results and a Review of the Literature

Park

Chang

2020

Yonsei Med J

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Section: Complications Of Gkrssupporting

confidence: 93%

Gamma Knife Radiosurgery on the Trigeminal Root Entry Zone for Idiopathic Trigeminal Neuralgia: Results and a Review of the Literature

Park

Chang

2020

Yonsei Med J

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“…However, both ICH and cavernous sinus hemangioma can be asymptomatic. [ 2 , 17 ] Hemorrhage is the most common manifestation of a cerebral cavernous hemangiomas, followed by epilepsy and focal neurological deficits according to the location of the hemangioma. Some asymptomatic cerebral cavernous hemangiomas are usually discovered incidentally during a physical examination.…”

Section: Discussionmentioning

confidence: 99%

“…Intrasellar and parasellar extra-axial cavernous hemangiomas can be classified into 3 types according to the relationships among the tumor origin, expansion, and ICA on coronal MRI. [ 17 ] According to this classification, many ICHs reported in the literature belong to the mixed type (Type III), while only a few cases belong to the true intrasellar type (Type I). Lombardi divided sellar and parasellar extra-axial cavernous hemangiomas into 3 types based on the patterns of growth, namely endophytic lateral growth, endophytic medial growth, and exophytic growth.…”

Section: Discussionmentioning

confidence: 99%

Imaging characteristics of Intrasellar cavernous hemangioma

Pan¹,

Shen²,

Ma³

et al. 2020

Medicine

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Rationale: Intrasellar cavernous hemangiomas (ICHs) are rare vascular lesions that arise in the sellar region. ICHs are usually misdiagnosed and treated as pituitary adenomas. Therefore, a preoperative diagnosis is particularly important, especially when the goal is complete resection. Patient concerns: A 55-year-old woman presented with a 1-month history of intermittent dizziness. Magnetic resonance imaging (MRI) revealed a well-demarcated abnormal ellipsoid signal in the sellar region (size: 2.7 cm × 1.7 cm), with a mulberry-like enhancement after gadolinium injection. Computed tomography revealed an intrasellar mass without calcification that extended into the left cavernous sinus and was faintly contrast-enhanced. Angiography revealed a tumor with mildly delayed staining fed by the C5 segment of the right internal carotid artery. Diagnosis: An intrasellar cavernous hemangioma based on neuroradiological examinations. Interventions: The patient underwent surgery with an endoscopic endonasal transsphenoidal approach to debulk the lesion and obtain tissue for the pathological diagnosis. Outcomes: Blood spurting was observed after puncture, and the capsule was stained blue. Lesion removal was stopped, and the patient underwent gamma knife surgery 1 week later. She remained in good condition during the follow-up. Lessons: Sponge-like or mulberry-like lesions can be identified on MRI after gadolinium injection and can facilitate a preoperative diagnosis of ICH. Currently, surgical debulking with cranial nerve decompression during the acute stage and subsequent gamma knife radiosurgery are considered to be a safe and effective treatment.

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“…They reported 100% tumor control rate with over 80% reduction in tumor volume in 55% of patients after a 24-month radiological follow-up period. Thirty three of the 53 patients demonstrated significant improvements in their clinical status, although two patients showed temporary clinical deterioration (20). Recently, Lee et al reported a multi-center retrospective study that included 31 CSH cases.…”

Section: █ Discussionmentioning

confidence: 99%

Treatment of cavernous sinus hemangiomas with gamma knife radiosurgery as a primary and sole therapy

Kardeş

Tufan²

2019

Turkish Neurosurgery

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AIM:To evaluate the effectiveness of Gamma Knife radiosurgery (GKRS) as the primary and only therapy for the treatment of cavernous sinus hemangiomas (CSH) and to report the tumor volume dynamics, course of symptoms, and complications after stereotactic radiosurgery. MATERIAL and METHODS:A total of 10 CSH patients were treated with GKRS using a median margin dose of 14.2Gy (range 13-16Gy). The median follow-up period was 42 months (range 12-85 months). Tumor volumes were calculated from magnetic resonance images before treatment and compared with those after treatment. RESULTS:Prior to the treatment, all patients complained of headache and retro-orbital pain, and six patients complained of diplopia due to abducens nerve paralysis. Within six months of treatment, all patients declared some improvement in headache and retro-orbital pain, and abducens nerve paralysis recovered fully in all six patients. At the first-year follow-up, at least 74% decrease in tumor volume was noted with average tumor volume reduction of 90.2% in all treated patients. Tumors less than 6 cm 3 in volume nearly disappeared at 24 months. No tumor progression, re-growth, or radiation-induced adverse effects were noted in our patients. CONCLUSION:Characteristic radiological features that enable identification of CSH avert the need for an open biopsy for diagnosis. Under suitable circumstances, GKRS may be considered as the primary and only therapy for CSH. GKRS has favorable outcomes in the treatment of CSH, demonstrating good tumor shrinkage, symptom recovery, and low incidence of side effects.

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A new classification and clinical results of Gamma Knife radiosurgery for cavernous sinus hemangiomas: a report of 53 cases

Cited by 25 publications

References 39 publications

Gamma Knife Radiosurgery on the Trigeminal Root Entry Zone for Idiopathic Trigeminal Neuralgia: Results and a Review of the Literature

Gamma Knife Radiosurgery on the Trigeminal Root Entry Zone for Idiopathic Trigeminal Neuralgia: Results and a Review of the Literature

Imaging characteristics of Intrasellar cavernous hemangioma

Treatment of cavernous sinus hemangiomas with gamma knife radiosurgery as a primary and sole therapy

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