Article
Cavernous Sinus Chondroma
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Published: | May 4, 2005 |
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Outline
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Objective
Chondromas are benign tumor, commonly found in the para sellar region and rarely confined solely in the cavernous sinus.
Methods
A 39-year-old woman presented with complete left third cranial nerve palsy for two months. Skull radiographs showed para sellar calcifications. CTscan revealed a huge lesion within the cavernous sinus, enhanced by contrast, extending to the dorsum sellae and the anterior clinoid process and compressing the carotid and the basilar arteries. A pterional approach has been performed to remove this lesion, with resection of the anterior clinoid process and wide dissection of the left sylvian fissure.
Results
The tumor was easily removed via the lateral wall of the cavernous sinus. Histological diagnosis was chondroma. Post operative course was uneventful and outcome was good. After ten years of follow-up, CTscan shows no recurrence.
Conclusions
Chondroma of the cavernous sinus can be safely and radically removed with long-term good result.