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Surgical Treatment of Cavernous Sinus Cavernomas: Evidence from Vietnam

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Department of Neurosurgery, Bach Mai Hospital, Hanoi 100000, Vietnam
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Department of Neurosurgery, 108 Military Central Hospital, Hanoi 100000, Vietnam
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Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
*
Author to whom correspondence should be addressed.
Reports 2020, 3(2), 16; https://doi.org/10.3390/reports3020016
Received: 1 March 2020 / Revised: 6 May 2020 / Accepted: 13 May 2020 / Published: 23 May 2020
Cavernous sinus cavernomas, a rare vascular malformation, represents 3% of all benign cavernous sinus tumors. Both clinical and radiological signs are important for differentiating this condition from other cavernous sinus diseases. The best treatment is radical removal tumor surgery; however, due to the tumor being located in the cavernous sinus, there are many difficulties in the surgery. We report a case of a 35-year-old female who only presented sporadical headache. After serial magnetic resonance imaging acquisitions, a tumor measuring 30 mm in the left cavernous sinus and heterogenous enhencement was observed. Then, the patient underwent an operation with an extradural basal temporal approach. Postoperatively, the tumor was safely gross total removed. The patient developed left oculomotor nerve palsy but fully recovered after 3 months of acupunture treatment, and developed persistent left maxillofacial paresthesia. The surgical treatment for cavernous sinus cavernomas may be considered a best choice regarding safety and efficiency. View Full-Text
Keywords: cavernous sinus; cavernoma; tumors; meningioma; oculomotor nerve palsy cavernous sinus; cavernoma; tumors; meningioma; oculomotor nerve palsy
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Nguyen, D.-A.; Nguyen, H.T.; Duong, T.V.; Pham, B.H.; Vo, H.-L. Surgical Treatment of Cavernous Sinus Cavernomas: Evidence from Vietnam. Reports 2020, 3, 16.

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