Cavernous hemangioma of the cavernous sinus, skin, and retina: hemodynamic changes after treatment: case report.

Objective: There are several reports concerning cavernous hemangiomas of the skin and central nervous system. Additional retinal involvement has also been reported.

Clinical Presentation: The authors report a 69-year-old woman with a giant extra-axial cavernous hemangioma of the right cavernous sinus involving the supra- and parasellar region, retina, and skin.

Intervention: Shrinkage of its cutaneous part lead to subsequent increase of the volume of the intracranial part. Owing to compression of the optic and the oculomotor nerves, oculomotor disturbances, ptosis, and visual impairment to 0.2 occurred. Via a pterional approach microsurgical removal of the tumor except for a remnant of the intracavernous part was performed.

Conclusion: Hemodynamic connection between cutaneous, retinal, and intracranial hemangiomas should be considered.