Meningiomas and Aneurysms of the Cavernous Sinus: Neuro-ophthalmologic Features

doi:10.1001/archopht.1978.03910050233009

You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.

Vol. 96 No. 3, March 1978

Online Only
	•	Online First Table of Contents

CLINICAL SCIENCES

•	Online Features

This Article
•	References
•	Full text PDF
•	Reply to article
•	Send to a friend
•	Save in My Folder
•	Save to citation manager
•	Permissions

Citing Articles
•	Citation map
•	Citing articles on HighWire
•	Citing articles on Web of Science (80)
•	Contact me when this article is cited

Related Content
•	Similar articles in this journal

Social Bookmarking
	What's this?

Meningiomas and Aneurysms of the Cavernous Sinus

Neuro-ophthalmologic Features

Jonathan D. Trobe, MD; Joel S. Glaser, MD; Judith D. Post, MD

Arch Ophthalmol. 1978;96(3):457-467.

Abstract

• A series of 16 patients with unilateral ophthalmoplegiadue to mass lesions of the cavernous sinus was analyzed; therewere six cavernous meningiomas and nine intracavernous aneurysms.All meningiomas were characterized by painless, insidiouslyprogressive partial nerve palsies, as were half of the aneurysms;the remaining aneurysm patients experienced acute painful episodes.

Pharmacologic pupillary tests failed to confirm a coexistingHorner syndrome in the majority of cases with anisocoria. Althoughplain skull films were unremarkable or misinterpreted as normal,bone tomograms, computerized axial tomograms, radionuclide scans,and cerebral angiograms established the diagnosis in all cases.

Because cavernous meningiomas show slow progression and aresurgically inaccessible, craniotomy is advised only if the visualpathways or brain stem is compromised. Intractable pain appearsto be the only distinct indication for intervention with cavernousaneurysms.

Author Affiliations

From the Department of Ophthalmology, Bascom Palmer Eye Institute (Drs Trobe and Glaser); and Department of Radiology, University of Miami School of Medicine (Dr Post).

Footnotes

Accepted for publication July 25, 1977.

Reprint requests to Bascom Palmer Eye Institute, PO Box 520875,University of Miami School of Medicine, Miami, FL 33152 (DrGlaser).

Add to CiteULike CiteULike Add to Connotea Connotea Add to Delicious Delicious Add to Digg Digg Facebook Add to Reddit Reddit Add to Technorati Technorati Twitter What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Superior divisional oculomotor paresis due to intracavernous internal carotid artery aneurysm
Kwon et al.
Neurology 2009;72:1875-1875.
FULL TEXT

Chapter 13 Ocular motor disorders
Kennard
Brain's Diseases of the Nervous System 2009;12:med-9780198569381-chapter-med-9780198569381-chapter.
ABSTRACT | FULL TEXT

Long term visual and neurological prognosis in patients with treated and untreated cavernous sinus aneurysms
Goldenberg-Cohen et al.
J. Neurol. Neurosurg. Psychiatry 2004;75:863-867.
ABSTRACT | FULL TEXT

NOSOLOGICAL ENTITIES?: The Tolosa-Hunt syndrome
Kline and Hoyt
J. Neurol. Neurosurg. Psychiatry 2001;71:577-582.
FULL TEXT

Cavernous Sinus Syndrome: Analysis of 151 Cases
Keane
Arch Neurol 1996;53:967-971.
ABSTRACT

Chronic Isolated Abducens Paresis From Tumors at the Base of the Brain
Currie et al.
Arch Neurol 1983;40:226-229.
ABSTRACT

Tolosa-Hunt Syndrome With Proptosis Mimicked by Giant Aneurysm of Posterior Cerebral Artery
Coppeto and Hoffman
Arch Neurol 1981;38:54-55.
ABSTRACT

Misdirection Revisited: A Critical Appraisal of Acquired Oculomotor Nerve Synkinesis
Lepore and Glaser
Arch Ophthalmol 1980;98:2206-2209.
ABSTRACT

Primary Aberrant Oculomotor Regeneration due to Intracranial Aneurysm
Cox et al.
Arch Neurol 1979;36:570-571.
ABSTRACT

Isolated Oculomotor Paralysis: The Product of Saccular and Fusiform Aneurysms of the Basilar Artery
Trobe et al.
Arch Ophthalmol 1978;96:1236-1240.
ABSTRACT

| | |