LAUSR

Cavernous sinus hemangiomas (CSHs) are rare vascular tumors, which are infrequently encountered in everyday neurosurgical practice. Attempted resection of this lesion without preoperative planning carries a high risk for significant blood loss and cranial neuropathies. Radiation treatments can provide an alternative and safe treatment modality for these lesions. Therefore an increased awareness is warranted for their clinical suspicion. We reported on a patient who presented with visual deficits and a mass in the sellar, suprasellar, and middle fossa regions. Given the high suspicion for a CSH due to characteristic radiologic findings, a keyhole craniotomy approach was safely used for an open biopsy. The final pathology was consistent with a CSH, and the patient subsequently underwent radiation therapy without complications.