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Advances in the Diagnosis and Treatment of Parasellar Cavernous Sinus Cavernous Hemangioma

Abstract:
Parasellar cavernous sinus cavernous hemangioma (CSCH) is a lesion that often originates from cavernous sinus and progresses to parasellar region outside the brain. CSCHs are often benigngenerally account for 2% to 3% of all cavernous sinus tumors. Due to abundant blood supply, surgical removal of CSCHs often causes massive intraoperative hemorrhage. CSCHs are often histologically confused with meningiomas. MRI findings of CSCHs often resemble those of the cerebrospinal fluid with slight hypointensity or isointensity to the ectocinerea on T1WI and hyperintensity on T2WI, showing marked enhancement and delayed enhancement after contrast enhancement. In addition to surgical removal, radiotherapy has shown good curative effects. This article has also reviewd the clinical manifestations, imageologic manifestations, differential diagnosis, and treatments of CSCHs in the related literatures