Orbital Cavernous Hemangioma Presenting With Atypical Appearance : Case Report
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概要
- 論文の詳細を見る
A 25-year-old male presented with unilateral retroorbital dysesthesia persisting for 2 weeks followed by progressive palpebral ptosis without preceding trauma, paranasal sinus surgery, or infectious signs. Neuroophthalmological inspection revealed mildly increased intraocular pressure and exophthalmos on the affected side, without conjunctival chemosis, restriction of the extraocular movements, double vision, or visual impairment. These symptoms did not vary with posture, straining, and Valsalva maneuver. Neuroimaging showed an irregularly-shaped orbital mass without enhancement mainly situated in the medial compartment of the orbit and encasing the optic nerve. Bruit was not audible and abnormal vasculatures were not identified in and around the affected orbit. Transcranial surgical exploration through the surgical window formed by the superior and medial rectus muscles revealed a purplish elastic-soft mass, heterogeneous in consistency and tightly adhering to the surrounding tissue, so cryoprobe-assisted radical tumor resection could not be completed without jeopardizing the optic nerve. The mass was subtotally resected piecemeal without postoperative visual impairment. The histological diagnosis was cavernous hemangioma. Orbital cavernous hemangiomas may present with an atypical appearance which confuses pretreatment diagnosis and makes surgical extirpation more hazardous. Conservative surgery should be indicated for poorly demarcated orbital cavernous hemangiomas considering the usual benign clinical course and postoperative sequelae.
- 社団法人 日本脳神経外科学会の論文
- 2009-05-15
著者
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TSUTSUMI Satoshi
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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YASUMOTO Yukimasa
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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ITO Masanori
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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ABE Yusuke
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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Abe Yusuke
Department Of Neurosurgery Juntendo Urayasu Hospital
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Suga Yasuo
Department Of Neurosurgery Juntendo Urayasu Hospital
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Ito Masanori
Department Of Neurosurgery Juntendo Urayasu Hospital
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Ito Masanori
Department Of Medicine And Molecular Science Hiroshima University Graduate School Of Biomedical Scie
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AKIYAMA Osamu
Department of Respiratory, Medicine, Japanese Red Cross Medical Center
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Tsutsumi Satoshi
Department Of Neurosurgery Juntendo Urayasu Hospital
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Yasumoto Yukimasa
Department Of Neurosurgery Juntendo Urayasu Hospital
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Akiyama Osamu
Department Of Allergy And Rheumatology Japanese Red Cross Medical Center
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Akiyama Osamu
Department Of Neurosurgery Juntendo Urayasu Hospital
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Yasumoto Yukimasa
Department Of Neurological Surgery Juntendo University Urayasu Hospital
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Tsutsumi Satoshi
Department Of Chemical Engineering Faculty Of Engineering Science Osaka University
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Suga Yasuo
Department Of Mechanical Engineering Faculty Of Science And Technology Keio University
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Abe Yusuke
Department Of Electrical Engineering And Computer Science Nagoya University
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Ito Masanori
Department Of Materials Science And Chemistry University Of Hyogo
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Akiyama Osamu
Department of Allergy and Rheumatic Diseases, Japanese Red Cross Medical Center
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ABE Yusuke
Department of Biomedical Engineering, Graduate School of Medicine, The University of Tokyo
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