Observational Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Aug 28, 2017; 9(8): 330-338
Published online Aug 28, 2017. doi: 10.4329/wjr.v9.i8.330
Clinical-radiological-pathological correlation of cavernous sinus hemangioma: Incremental value of diffusion-weighted imaging
Abhishek Mahajan, Vedula Rajni Kanth Rao, Gudipati Anantaram, Ashwin M Polnaya, Sandeep Desai, Paresh Desai, Rammohan Vadapalli, Manas Panigrahi
Abhishek Mahajan, Ashwin M Polnaya, Department of Radiodiagnosis, Tata Memorial Centre, Mumbai 400012, India
Vedula Rajni Kanth Rao, Gudipati Anantaram, Department of Radiology, Krishna Institute of Medical Sciences, Secunderabad 500003, India
Sandeep Desai, Department of Radiodiagnosis Clumax Imaging, Bangalore 560011, India
Paresh Desai, Department of Radiology, Apollo Victor Hospital, Goa 403601, India
Rammohan Vadapalli, Department of Radiology, Vijaya Diagnostics, Hyderabad, Secunderabad 500003, India
Manas Panigrahi, Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad 500003, India
Author contributions: Guarantors of integrity of entire study by all authors; study concepts/study design or data acquisition or data analysis/interpretation by all authors; manuscript drafting or manuscript revision for important intellectual content by all authors; manuscript final version approval by all authors; literature research by all authors; manuscript editing by all authors; all authors take responsibility for the integrity of the data and the accuracy of the data analysis.
Institutional review board statement: The study was reviewed and approved by the Institutional review board.
Informed consent statement: Participants gave informed consent for data sharing.
Conflict-of-interest statement: I confirm that this manuscript is not published anywhere else and on behalf of all authors, I state that there is no conflict of interests (including none for related to commercial, personal, political, intellectual, or religious interests).
Data sharing statement: All the cases presented in this article belong to the authors and have not been copied or borrowed from any published material. Technical appendix, statistics, and dataset available from the corresponding author Dr V R K Rao (vedula@gmail.com). The authors whose names are listed above certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors certify that a manuscript on the same or similar material has not already been published or has not been or will not be submitted to another journal or by colleagues at their institution before their work appears in your journal.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Vedula Rajni Kanth Rao, MD, DMRD, Department of Radiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad 500003, India. drvedula@kimshospitals.co.in
Telephone: +91-99-89773473 Fax: +91-40-27840980
Received: February 21, 2017
Peer-review started: February 26, 2017
First decision: March 27, 2017
Revised: May 8, 2017
Accepted: May 22, 2017
Article in press: May 24, 2017
Published online: August 28, 2017
Processing time: 184 Days and 5 Hours
Core Tip

Core tip: Cavernous hemangioma in the cavernous sinus are rare lesions with significant female preponderance. This article highlights the diagnostic magnetic resonance imaging features of cavernous sinus hemangiomas (CSH). T1-weighted hypointensity with homogeneous hyperintensity on T2-weighted sequence, absence of hemosiderin within the lesion on GRE sequence and intense post contrast enhancement favour the diagnosis. On diffusion-weighted imaging CSH shows facilitated diffusion and is nearly 100% specific for CSH. Markedly hypointense hemangioma on T1 weighted images suggests schirrous nature of the lesion and is amenable to complete surgical excision.