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Vol. 5. Núm. 3.
Páginas 254-258 (enero 1993)
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Vol. 5. Núm. 3.
Páginas 254-258 (enero 1993)
Hemangioma cavernoso gigante del seno cavernoso: Presentación de un caso tratado con irradiación
Visitas
2340
J. Ayerbe, R.D. Lobato, J. Domínguez, F. Sánchez Turanzas, A. Benítez
Servicio de Neurocirugía, Hospital «12 de Octubre», Madrid
Este artículo ha recibido
Información del artículo
Resumen

Se presenta un caso de hemangioma cavernoso gigante del seno cavernoso derecho en una mujer de 52 años que debutó con pérdida visual en ojo derecho. Analizamos los hallazgos en la angiografía cerebral, en la tomografía computadorizada y en la resonancia magnética. La resección quirúrgica fue imposible a causa de una profusa hemorragia intraoperatoria. El volumen tumoral se redujo significativamente tras la administración de radioterapia postoperatoria con una dosis total de 50Gy. Una resonancia magnética de control realizada un año después no demostró recidiva tumoral. Se destacan los problemas de manejo que plantean estas raras lesiones y se realiza una revisión de la literatura.

Palabras clave:
Hemangioma cavernoso
Seno cavernoso
Fosa craneal media
Summary

The case of a giant cavernous hemangioma of the right cavernous sinus in a 52 year-old woman presenting with right visual loss is described. The angiographic, computerized tomography scan and magnetic resonance findings are analyzed. Tumor removal was impossible because of profuse intraoperative hemorrhage. The volume of the mass was significantly reduced by local postsurgical irradiation with a dose of 50Gy. A follow-up magnetic resonance performed one year later showed no evidence of lesion recurrence. The difficulties with the management of these uncommon lesions are commented and the Iiterature is reviewed.

Key words:
Cavernous hemangioma
Cavernous sinus
Middle cranial fossa

Artículo

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