03-29-2019, 04:30 PM
Please excuse my intrusion into the neurosurgery board, but thought I'd throw an odd case out there. I'm a radiologist, and have been shown a case of a smoothly marginated, nonenhancing lesion in the cavernous sinus. It contains a nodular component surrounded by fluid, and the nodular component is approximately isointense to brain on various sequences. On the coronal images, the soft tissue/nodular component is not well separated from the temporal lobe tissue above, so my primary consideration is a small encephalocele or less likely ectopic rest. The lesion is causing a 6th nerve palsy. A quick search has found a potentially similar case:
(Cavernous Sinus Encephalocele: Surgeon Beware
Article in Journal of Neurological Surgery, Part B: Skull Base 78(S 01):S1-S156 · March 2017 with 48 Reads
DOI: 10.1055/s-0037-1600820
My question lies in the feasibility of fixing such a lesion, and if there are certain centers or individuals that would be more experienced or receptive to such a case. Would a typical academic center have a skull base surgeon that deals with this kind of case?Thanks for any guidance.
(Cavernous Sinus Encephalocele: Surgeon Beware
Article in Journal of Neurological Surgery, Part B: Skull Base 78(S 01):S1-S156 · March 2017 with 48 Reads
DOI: 10.1055/s-0037-1600820
My question lies in the feasibility of fixing such a lesion, and if there are certain centers or individuals that would be more experienced or receptive to such a case. Would a typical academic center have a skull base surgeon that deals with this kind of case?Thanks for any guidance.