Early Response to Radiation Therapy without Surgical Intervention in a Giant Cavernous Sinus Hemangioma with Hydrocephalus: A Case Report.

Autor:	Watanabe N; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Mizumoto M; Department of Radiation Oncology, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan., Amano T; Diagnostic and Interventional Radiology, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan., Hosoo H; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.; Division of Stroke Prevention and Treatment, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Yamano A; Division of Stroke Prevention and Treatment, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Zaboronok A; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Matsuda M; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Takano S; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Matsumaru Y; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.; Division of Stroke Prevention and Treatment, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan., Ishikawa E; Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Jazyk:	angličtina
Zdroj:	NMC case report journal [NMC Case Rep J] 2023 Nov 29; Vol. 10, pp. 337-342. Date of Electronic Publication: 2023 Nov 29 (Print Publication: 2023).
DOI:	10.2176/jns-nmc.2023-0094
Abstrakt:	Cavernous sinus hemangioma (CSH) is a rare vascular malformation, arising from the cavernous sinus. Because of its anatomically complex location, a large lesion can cause a variety of symptoms due to cranial nerve compression. A 69-year-old woman with an unsteady gait was admitted to our hospital, and magnetic resonance imaging revealed an extra-axial giant tumor in the cavernous sinus and enlarged ventricles. A radiographic diagnosis of CSH was made. As the risk of surgical removal was considered high, the patient underwent intensity-modulated radiation therapy of 50.4 Gy in 28 fractions. The size of the tumor decreased markedly over time, and the symptoms improved soon after treatment. A 61.8% reduction in tumor size was confirmed immediately after irradiation, and a 75.9% reduction was revealed at a follow-up visit one year later. We reported a case of a giant CSH with hydrocephalus, where tumor shrinkage was confirmed immediately after radiation therapy, and the symptoms of hydrocephalus improved without surgical intervention. Competing Interests: The authors declare no conflicts of interest associated with this manuscript. (© 2023 The Japan Neurosurgical Society.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu