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Radiosurgical considerations for cavernous sinus hemangioma: long-term clinical outcomes

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Abstract

Background

Cavernous hemangiomas are rare vascular tumors in the cavernous sinus. Cranial neuropathies induced by cavernous sinus hemangiomas (CSH) necessitate tumor reduction, but surgery is extremely difficult due to the abundant vascularization of the lesion. We studied the effectiveness and safety of Gamma Knife radiosurgery (GKRS) for CSH.

Methods

We performed a retrospective analysis of 25 patients with CSH who were treated by GKRS between March 1992 and December 2014. Age, sex, target volume, and irradiation dose were analyzed as prognostic factors for CSH treated by GKRS.

Results

Eleven (84.6 %) patients had tumor shrinkage within 12 months after GKRS. Two patients experienced tumor progression, but tumor size decreased over 2 years after GKRS. No patients had permanent complications, and all patients experienced symptomatic improvement. There were no significant factors that predicted the prognosis of CSH.

Conclusions

The optimal treatment for CSH has been unclear; however, in this study, GKRS was an effective and safe treatment for CSH. Thus, GKRS may be a primary treatment for CSHs in high-risk surgery patients.

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Authors and Affiliations

  1. Department of Neurosurgery, College of Medicine, Kyung Hee University, 1, Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Korea

    Chang Kyu Park, Seok Keun Choi, Il Ho Kang, Man Kyu Choi, Bong Jin Park & Young Jin Lim

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  1. Chang Kyu Park
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  2. Seok Keun Choi
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  3. Il Ho Kang
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  4. Man Kyu Choi
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Correspondence to Young Jin Lim.

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No funding was received for this research.

Conflict of interest

The authors have no personal financial or institutional interests in any of the drugs, materials, or devices described in this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed consent

This retrospective manner was approved by permission of our institutional review board (IRB) and the board permitted waiver of informed consent.

Additional information

IRB Number: KMC IRB 1533-08

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Park, C.K., Choi, S.K., Kang, I.H. et al. Radiosurgical considerations for cavernous sinus hemangioma: long-term clinical outcomes. Acta Neurochir 158, 313–318 (2016). https://doi.org/10.1007/s00701-015-2657-4

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  • DOI: https://doi.org/10.1007/s00701-015-2657-4

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