Multiple cavernous hemangiomas presenting as orbital apex syndrome

Kashkouli, M.B. and Imani, M. and Tarrasoly, K. and Kadivar, M. (2005) Multiple cavernous hemangiomas presenting as orbital apex syndrome. Ophthalmic Plastic and Reconstructive Surgery, 21 (6). pp. 461-463.

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A 41-year-old man presented with a 7-year history of gradually increasing right proptosis and a 2-year history of decreased vision and limited eye movements. Right proptosis (11 mm), limitation of movement in all gazes, anisocoria, and visual impairment implied orbital apex compression. Computed tomography showed several distinct lesions with mild delayed enhancement extending to the orbital apex. Through a lateral orbitotomy, 10 discrete hemangiomas were removed uneventfully. Histopathologic findings were consistent with cavernous hemangioma in all tumors removed. Proptosis resolved after surgery at 3 to 4 weeks. Visual acuity was unchanged (20/25), and eye movement significantly improved at last follow-up, 15 months after surgery. ©2005 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.

Item Type: Article
Additional Information: cited By 12
Uncontrolled Keywords: adult; anisocoria; article; cancer surgery; case report; cavernous hemangioma; clinical feature; computer assisted tomography; exophthalmos; eye movement; follow up; gaze; histopathology; human; human tissue; male; orbit tumor; postoperative period; priority journal; statistical significance; treatment outcome; visual acuity; visual disorder; visual impairment; cavernous hemangioma; cranial neuropathy; differential diagnosis; eye surgery; nerve compression; ophthalmic nerve; orbit tumor; syndrome, Adult; Cranial Nerve Diseases; Diagnosis, Differential; Follow-Up Studies; Hemangioma, Cavernous; Humans; Male; Nerve Compression Syndromes; Ophthalmic Nerve; Ophthalmologic Surgical Procedures; Orbital Neoplasms; Syndrome; Tomography, X-Ray Computed
Subjects: QV Pharmacology
Depositing User: Librarian Farzaneh Dini
Date Deposited: 26 May 2019 07:37
Last Modified: 26 May 2019 07:37

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