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Oommen et al. Neuroimmunol Neuroinflammation 2017;4:16-9 Neuroimmunology and
DOI: 10.20517/2347-8659.2016.49
Neuroinflammation

www.nnjournal.net
Case Report Open Access

Parasellar extra-axial cavernoma

mimicking meningioma: a case report

Arun Oommen , Thara Pratap , Sushil Chandi , Muhammed Jasim Abdul Jalal 4
2
3
1
1 Department of Neurosurgery, VPS Lakeshore Hospital, Kochi, Kerala 682040, India.
2 Department of Radiology, VPS Lakeshore Hospital, Kochi, Kerala 682040, India.
3 Department of Pathology, Lisie Hospital, Kochi, Kerala 682040, India.
4 Department of Internal Medicine and Rheumatology, VPS Lakeshore Hospital, Kochi, Kerala 682040, India.
Correspondence to: Dr. Muhammed Jasim Abdul Jalal, Department of Internal Medicine and Rheumatology, VPS Lakeshore Hospital,
Nettoor.P.O., Maradu, NH 47-Byepass, Kochi, Kerala 682040, India. E-mail: jasimabduljalal@yahoo.com
How to cite this article: Oommen A, Pratap T, Chandi S, Jalal MJA. Parasellar extra-axial cavernoma mimicking meningioma: a case report.
Neuroimmunol Neuroinflammation 2017;4:16-9.
ABSTRACT
Article history: Parasellar extra-axial cavernomas are rare lesions. The authors report a case of extra-axial
Received: 24-11-2016 cavernoma in a 50-year-old male patient, who presented with occipital headache and double
Accepted: 20-12-2016 vision. The magnetic resonance imaging showed an enhancing extra-axial dural-based mass
Published: 20-01-2017 in the left parasellar region invading cavernous sinus, hyper-intense on T2-weighted images,
iso-intense on T1-weighted images and high relative cerebral blood velocity on magnetic
Key words: resonance perfusion. The patient underwent a left pterional craniotomy and parasellar space
Extra-axial cavernoma, occupying lesion was excised. Histopathology was suggestive of cavernous hemangioma.
parasellar cavernoma,
meningioma

INTRODUCTION CASE REPORT

Cavernomas are benign. They usually have an Case history
intraparenchymal origin, but occasionally arise from the A 50-year-old man had a 1 month history of left occipital
duramater. Extra-axial cavernous angiomas account headache unresponsive to drug therapy with common
for 0.4-2% of all intracranial vascular malformations. analgesics. The intensity of this symptom increased
They usually occur in the middle cranial fossa, over time. Later, it was associated with double vision.
associated with the cavernous sinus. Here, we report a There was no history of seizures, vomiting and limb
case of a 50-year-old male patient who presented with weakness. The patient was hemodynamically stable.
left occipital headache and diplopia due to a parasellar His neurological examination was normal, except for
space occupying lesion mimicking a meningioma. left 6th and partial left 3rd nerve palsy.

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