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[Diagnosis and therapy of intracavernosal cavernous hemangioma].

OBJECTIVE
To study the diagnosis and therapy of intracavernosal cavernous hemangioma.


METHODS
The clinical data, including pathology, epidemiology, medical imaging, operation procedure, and post-operational complication, of 43 intracavernosal cavernous hemangioma patients undergoing operations in Tiantan Hospital 1996 to 2003 were analyzed. Frontotemporal craniotomy, frontal craniotomy, and combined fronto-temporal preauricular subtemporal approach were used for the 43 patients.


RESULTS
The male/female ratio of these cases was 1:2.58. The average age of onset was 44.28 (11 approximately 67). The initial symptoms included headache, diminution of vision, paralysis of occulomotor nerve, ambiopia, facial pain or numbness epilepsy, etc. Although showing no specific typical feature, MRI still helped in diagnosis. The tumor was totally removed in 22 cases, subtotally removed in 11 cases, and partially removed in 10 cases. The main post-operational complications included oculomotor nerve paralysis (16 cases), abducent nerve paralysis (10 cases), and facial nerve paralysis (3 cases). No postoperative death occurred.


CONCLUSION
Operation is still the best choice for intracavernosal cavernous hemangioma patients.