OBJECTIVE: To elucidate the advances of diagnosis and surgical treatment of the @entity15265 ( @entity15265 ). METHODS: The data from 20 @entity1 with the @entity15265 surgically treated by authors from 1996 through 2000 was analyzed retrospectively, and a review of relevant literature was conducted. RESULTS: These 20 cases accounted for 16.3% of all intracranial @entity2477 surgically treated in the same period at Huashan Hospital. The @entity1 were aged from 32 approximately 69 years with an average age of 47 years. There were 17 females and 3 males. The common clinical manifestations were @entity227 , @entity892 , @entity10 , facial numbness and extraocular muscle palsy. Computed tomography (CT) and magnetic resonance imaging (MRI) were major preoperative diagnostic modalities, but demonstrated nonspecific features. The preoperative misdiagnostic rate was 38.9%. Of the 20 @entity1 undergoing craniotomy via modified pterional approach with or without orbitozygomatic osteotomy, @entity5 were removed through @entity14159 ( @entity14159 ) in 13 cases, intradural approach (IDA) in 7 cases. @entity551 was induced during the operation in 2 cases. @entity5 removal was achieved in 12 cases (92.3%) in the @entity14159 group and nil in the IDA group. Incomplete @entity5 removal was 1 case (7.7%) in the @entity14159 group and 7 cases (100%) in the IDA group. One @entity1 in the IDA group died of @entity932 postoperatively. Compared with preoperative manifestations, @entity129 at discharge were worsened in 76.9% of @entity1 in the @entity14159 group and 83.3% of @entity1 in the IDA group, improved in 15.4% of @entity1 in the @entity14159 group and 16.7% of @entity1 in the IDA group, unchanged in 7.7% of @entity1 in the @entity14159 group. Follow-up study (range, 1 approximately 6 years; mean, 3 years) was available in 17 @entity1 (89%). All @entity1 in the @entity14159 group improved without @entity5 recurrence. Nonimprovement (2 cases) and continued worsening (3 cases) occurred in the IDA group. In @entity1 with @entity5 incompletely removed, the @entity5 enlarged in 2 cases, and unchanged or decreased in size in 3 cases, in which 2 cases underwent postoperative radiosurgery or radiotherapy. According to pathologic and MRI characteristics, the @entity15265 can be divided into two types, sponge-like type and mulberry-like type. CONCLUSION: @entity2477 should be included in differential diagnosis for middle aged females with cavernous @entity5 . Two types of the @entity15265 , sponge-like type and mulberry-like type, can be identified. The best microsurgical approach for the removal of the @entity15265 is @entity14159 via the skull-base craniotomy. Radiosurgery should be considered for @entity1 with @entity5 removal.

Diagnosis and surgical treatment of XXXX : an experience of 20 cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity129 :: ('MESH:D003389', 'Disease') :: ['cranial neuropathies'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual loss'] @entity932 :: ('MESH:D020300', 'Disease') :: ['intracranial hemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'sinus tumors', 'incomplete tumor', 'Total tumor', 'tumors'] @entity15265 :: ('MESH:D020226', 'Disease') :: ['cavernous sinus hemangiomas', 'CSHs'] @entity14159 :: ('MESH:D015174', 'Disease') :: ['EDA', 'epidural approach'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia'] @entity2477 :: ('MESH:D006392', 'Disease') :: ['Cavernous hemangioma', 'cavernous hemangiomas'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity551 :: ('MESH:D007022', 'Disease') :: ['Hypotension']
@entity15265 :: (MESH:D020226,Disease) :: ['cavernous sinus hemangiomas']
