Intracavernous teratoma in a school-aged child

An eight-year-old boy presented with left eye pain, photophobia, proptosis, third nerve paresis and decreased visual acuity. Magnetic resonance imagin g revealed a nonenhancing mass filling the cavernous sinus. Using an extrad ural fronto-orbitozygomatic approach, the cavernous sinus was approached la terally, and a teratoma was removed from with in the cavernous sin us. Th i s is the fi rst case of a truly intracavernous teratoma in a child and the fourth case of a teratoma reported in the cavernous sinus region overall. T his report outlines the diagnosis and treatment of th is unusual cavernous sinus tumor.