Hemangioma of the cavernous sinus
in a child
An 11-year-old boy presented with diplopia and right cranial nerve VI paresis. MRI demonstrated a T2-
neous enhancement. The carotid artery was not narrowed (figure). Slow growth prompted endoscopic
transsphenoidal resection. Microscopy demonstrated a vascular tumor with bland endothelial cells and no mitoses.
Hemangiomas of the cavernous sinus rarely occur in children. Marked T2 hyperintensity and progressive
nodular centripetal enhancement are common.1Preoperative diagnosis is important to avoid hemorrhage at
surgery. They are often mistaken for more common meningiomas, which usually show T2-isointensity and
carotid artery narrowing.
P. Litkowski, BA, Y. Khakoo, MD, S. Gilheeney, MD, M. Souweidane, MD, J. Huse, MD, S. Haque, MD,
R.J. Young, MD, New York, NY
Figure Hemangioma of the cavernous sinus
Axial T1-weighted (A) and coronal T2-weighted (B) images show an expansile 3.5 ? 2.6 cm tumor in the right cavernous
sinus with T1 hypointense and marked T2 hyperintense signal. Coronal (C) and axial (D) contrast T1-weighted images
acquired several minutes apart reveal characteristic early heterogeneous and late homogeneous enhancement.
Copyright © 2011 by AAN Enterprises, Inc.
Author contributions: P. Litkowski: analysis or interpretation of data, drafting/revising the manuscript for content, including medical
writing for content. Dr. Khakoo: analysis or interpretation of data, drafting/revising the manuscript for content. Dr. Gilheeney:
analysis or interpretation of data, drafting/revising the manuscript for content. Dr. Souweidane: acquisition of data, analysis or
interpretation of data. Dr. Huse: acquisition of data, analysis or interpretation of data. Dr. Haque: analysis or interpretation of data.
Dr. Young: study concept or design, acquisition of data, analysis or interpretation of data, drafting/revising the manuscript for
content, including medical writing for content. Dr. Young takes full responsibility for the data, analyses and interpretation, and the
conduct of the research, and has full access to all of the data, with the right to publish all data separate and apart from any sponsor.
Disclosure: P. Litkowski reports no disclosures. Dr. Khakoo serves on the editorial board of the Journal of Child Neurology. Dr.
Gilheeney reports no disclosures. Dr. Souweidane serves as a consultant for Aesculap, Inc. and receives research support from United
Therapeutics, Beez Foundation, St. Baldrick’s Foundation, Cure Starts Now Foundation, Dana Foundation, Christian Rivera Foun-
dation, and Matthew Larson Foundation. Dr. Huse receives research support from Society of MSKCC, American Association for
Cancer Research, Geoffrey Beene Foundation, and Leon Levy Foundation. Dr. Haque reports no disclosures. Dr. Young serves as an
Associate Editor for the Journal of Pediatric Neuroradiology and World Journal of Neurology; and receives research support from
MSKCC Department of Radiology and Radiological Society of North America.
Address correspondence and reprint requests to Dr. Robert J. Young, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue,
MRI-1156, New York, NY 10065; firstname.lastname@example.org
1.Jinhu Y, Jianping D, Xin L, Yuanli Z. Dynamic enhancement features of cavernous sinus cavernous hemangiomas on conven-
tional contrast-enhanced MR imaging. AJNR Am J Neuroradiol 2008;29:577–581.
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Neurology 77 October 25, 2011
DOI 10.1212/WNL.0b013e3182343399 Download full-text
P. Litkowski, Y. Khakoo, S. Gilheeney, et al.
Hemangioma of the cavernous sinus in a child
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