PMC6480991_01
Preoperative T1-weighted, coronal and axial, post-contrast MRI images illustrating extension into pterygopalatine fossa (A, B) and cavernous sinus involvement (C).. MRI, magnetic resonance imaging.
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Magnetic resonance imaging (MRI) revealed additional perineural intracranial extension into the right middle cranial fossa and cavernous sinus (Figure 1).
Preoperative interventional neuroradiology embolization. Coronal (1) and sagittal (2) images displaying angiogram pre-embolization (A) illustrating blush of lesion's vasculature, during embolization (B) illustrating the wire used, and post-embolization (C) showing a decrease in vascular flow.
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At 2 weeks following presentation, the patient underwent preoperative vascular embolization (Figure 2), followed by an endoscopic resection of the anterior cranial fossa lesion.
Postoperative, axial and coronal, T1-weighted, post-contrast MRI image showing residual tumor in the right posterior orbit (A) and cavernous sinus (B).. MRI, magnetic resonance imaging.
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Postoperative imaging was obtained 3 months following surgical resection showing a small residual neoplasm in the right orbit, right middle cranial fossa abutting the right cavernous sinus, and right upper masticator space (Figure 3).