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Endoscopic resection of a venous hemangioma of the optic nerve sheath

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September 1, 2005
by Daniel L. Monin, BA; Kate Blumner, MPH; Noam A. Cohen, MD, PhD; John S.J. Brooks, MD; Chien Chen, MD, PhD; David W. Kennedy, MD
We describe a case of a venous hemangioma that arose in the optic nerve sheath of the orbital apex in a 28-year-old man who presented with progressive vision loss. To the best of our knowledge, this is the first reported case of a venous hemangioma occurring at this location. A definitive diagnosis and partial excision was achieved via an endoscopic transsphenoethmoid approach with interactive, computer-assisted, frameless stereotactic surgical navigation. The intervention resulted in minimal morbidity, demonstrating yet again that this surgical approach is a safe and effective way to treat lesions of the orbital apex.

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