Intracranial soft-tissue glomus tumor (glomangioma) in a young-woman.

Abstract

BACKGROUND: Glomus tumors, or glomangiomas, are benign vascular tumors typically seen at distal extremities. These
tumors differ from paragangliomas and classically present in the female population between the 4th and 5th decade.
Intracranial localizations have not been described in literature in the adult population.

CASE DESCRIPTION: We present a case of a 32 year-old woman with a 3 months history of progressive left-sided visual loss and headache. A pre-operative MRI showed a homogeneously enhancing lesion extending from the left cavernous
sinus to middle cranial fossa at first suspected to be a cavernous sinus meningioma. Eventually, histopathological analysis concluded for a glomangioma diagnosis. Post-operative RT was also performed.

CONCLUSIONS: From our experience it is very important for clinical management considering glomangiomas in differential diagnosis of a homogeneously enhancing extra axial mass. Subtotal resection followed by radiation therapy determined no recurrence of the disease up to 7 years.