Intraorbital Encephalocele in an Adult Patient Presenting With Pulsatile Exophthalmos : Case Report
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概要
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A 25-year-old man presented with an intraorbital encephalocele manifesting as progressive left pulsatile exophthalmos. He had a history of frontal lobe contusion from a motorbike accident 10 years before the onset of the symptom. Computed tomography and magnetic resonance imaging revealed an oval-shaped defect in the left orbital roof with an underlying intracranial cystic lesion, herniated into the orbit. Intraoperative findings included disruption of the dura mater around the bony defect. The loculated arachnoid membrane and protruding brain tissue were excised with primary dural closure and reconstructive cranioplasty with a titanium mesh. The postoperative course was uneventful, and the pulsatile proptosis disappeared immediately after the procedure. Intracranial cyst may be important in the development of progressive pulsatile exophthalmos and intraorbital encephalocele.
- 2010-12-15
著者
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HATAKEYAMA Takao
Department of Neurosurgery, Uwajima City Hospital
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ZENKE Kiichiro
Department of Neurosurgery, Uwajima City Hospital
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Hatakeyama Takao
Department Of Neurological Surgery Ehime University School Of Medicine
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Zenke Kiichiro
Department Of Neurological Surgery Ehime University School Of Medicine
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Shoda Daisuke
Department Of Agricultural And Environmental Engineering Faculty Of Agriculture Kobe University
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FUJIWARA Satoshi
Department of Forensic Medicine, Yokohama City University, Graduate School of Medicine
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MORIHARA Hirofumi
Department of Neurosurgery, Ehime Prefectural South Uwa Hospital
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SUEHIRO Satoshi
Department of Neurosurgery, Uwajima City Hospital
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Suehiro Satoshi
Department Of Neurosurgery Uwajima City Hospital
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Shoda Daisuke
Department Of Neurosurgery Uwajima City Hospital
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Morihara Hirofumi
Department Of Neurosurgery Ehime Prefectural South Uwa Hospital
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Fujiwara Satoshi
Department Of Neurosurgery Uwajima City Hospital
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Fujiwara Satoshi
Department Of Biochemical Engineering And Science Kyushu Institute Of Technology
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