Acta Neurochirurgica

, Volume 158, Issue 2, pp 313–318 | Cite as

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

  • Chang Kyu Park
  • Seok Keun Choi
  • Il Ho Kang
  • Man Kyu Choi
  • Bong Jin Park
  • Young Jin Lim
Clinical Article - Functional

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.

Keywords

Hemangioma Gamma Knife radiosurgery Cavernous sinus 

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Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • Chang Kyu Park
    • 1
  • Seok Keun Choi
    • 1
  • Il Ho Kang
    • 1
  • Man Kyu Choi
    • 1
  • Bong Jin Park
    • 1
  • Young Jin Lim
    • 1
  1. 1.Department of Neurosurgery, College of MedicineKyung Hee UniversitySeoulKorea

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