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OtherHead and Neck Imaging

Characteristic MR Imaging Findings of Cavernous Hemangiomas in the Cavernous Sinus

Chul Ho Sohn, Sang Pyo Kim, Il Man Kim, Jeong Hyun Lee and Ho Kyu Lee
American Journal of Neuroradiology June 2003, 24 (6) 1148-1151;
Chul Ho Sohn
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Sang Pyo Kim
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Il Man Kim
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Jeong Hyun Lee
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Ho Kyu Lee
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    Fig 1.

    A 37-year-old woman presented with diplopia for 2 months. MR images show that the mass produces low signal intensity on axial T1-weighted (A) and a homogeneous and markedly high signal intensity on axial T2-weighted images (B) and is strongly enhanced after contrast material administration (C). The mass is located in the left cavernous sinus, extends to the middle cranial fossa, and encircles the left ICA (arrow). Angiography of the lateral projection of the external carotid artery reveals some vascular blush that is supplied by the middle meningeal artery in the venous phase (D).

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    Fig 2.

    A 36-year-old woman had a 7-month history of extraocular muscle limitation and visual disturbance. MR images reveal a large, lobulated mass, with compression of the right cavernous sinus. The mass encircles the cavernous portion of the left ICA (arrow). It gives low signal intensity on T1-weighted images, homogeneous markedly high signal intensity on axial T2-weighted images (A) and is strongly enhanced after contrast material administration (B). Angiography of the left lateral projection of the ICA reveals some vascular blush that is supplied by the meningeal branch of the artery (C).

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    Table

    Summary of radiological findings in five patients with cavernous sinus hemangiomas

    Patient (No.)Sex/Age (years)Radiological Findings
    MRCTAngiography
    1F/37Hypointense on T1Homogeneous isoattenuatedVascular blush from MMA
    Hyperintense on T2Homogeneous enhancement…
    Homogeneous enhancement
    2F/36Hypointense on T1Homogeneous isoattenuatedVascular blush from meningeal branch of ICA
    Hyperintense on T2Homogeneous enhancement
    Homogeneous enhancement
    3F/48Hypointense on T1Homogeneous isoattenuatedAvascular
    Hyperintense on T2Homogeneous enhancement…
    Homogeneous enhancement
    4F/57Hypointense on T1Homogeneous isoattenuated…
    Hyperintense on T2Homogeneous enhancement…
    Homogeneous enhancement
    5M/49Hypointense on T1Homogeneous isoattenuatedVascular blush from MMA
    Hyperintense on T2
    Homogeneous enhancementHomogeneous enhancement…
    • Note.— ICA, internal carotid artery; MMA, middle meningeal artery.

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American Journal of Neuroradiology: 24 (6)
American Journal of Neuroradiology
Vol. 24, Issue 6
1 Jun 2003
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Cite this article
Chul Ho Sohn, Sang Pyo Kim, Il Man Kim, Jeong Hyun Lee, Ho Kyu Lee
Characteristic MR Imaging Findings of Cavernous Hemangiomas in the Cavernous Sinus
American Journal of Neuroradiology Jun 2003, 24 (6) 1148-1151;

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Characteristic MR Imaging Findings of Cavernous Hemangiomas in the Cavernous Sinus
Chul Ho Sohn, Sang Pyo Kim, Il Man Kim, Jeong Hyun Lee, Ho Kyu Lee
American Journal of Neuroradiology Jun 2003, 24 (6) 1148-1151;
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