Cavernous sinus hemangioma

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Chronic headaches.

Patient Data

Age: 60 years
Gender: Female
mri

There is a well-defined mass in the right cavernous sinus measuring 18 x 16 x 12 mm, isointense to the cortical grey matter on T1, markedly hyperintense on T2 and FLAIR with progressive enhancement on 3D-T1 C+ and complete centripetal fill-in on delayed axial and coronal T1 C+ FS. There is an extension below the ICA which is displaced superiorly, keeping normal caliber.

Mild chronic small vessel ischemic changes.

Case Discussion

MRI features of a well-defined cavernous sinus mass markedly hyperintense on T2 with progressive enhancement and complete fill-in on delayed sequences, suggestive of cavernous sinus hemangioma.

For the main differential diagnosis, please refer to the article: cavernous sinus masses.

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