Chronic, Traumatic Intraconal Hematic Cyst of the Orbit Removed Through the Fronto-orbital Approach : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 22-year-old male presented with a chronic encapsulated intraorbital hematoma 3 months after blunt trauma to his left eyeball.Ophthalmological examination found the best corrected visual acuity was 4 / 20 in the left eye, and 20 / 20 in the right eye.The orbit exhibited exophthalmus and inability of the eye to move above the horizontal level.Orbital magnetic resonance imaging showed a fairly well-demarcated area in the medial aspect of the orbit appearing as hyperintense on T_1-weighted images and isoto hyperintense on T_2-weighted images.This area was believed to be hemorrhage.No other abnormalities were found.The diagnosis was hematic cyst.The cyst was approached through a left fronto-orbital route and its location identified within the periorbita and orbital fat.The cyst was removed partially.Histological examination demonstrated cystic accumulation of blood and breakdown products in a non-epithelium-lined fibrous capsule, compatible with hematic cyst.The presence of hemosiderin in the cyst wall suggested that the cyst was a chronically enlarging lesion.Hematic cysts of the orbit usually prsent as subperiosteal mass months to years after trauma.Surgical removal of the cyst wall rather than needle aspiration is recommended to prevent recurrence.
- 日本脳神経外科学会の論文
- 2000-02-15
著者
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Matsumoto Takashi
Department of Gynecologic Oncology, Shikoku Cancer Center
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YAMADA Kazuo
Department of Biochemistry, Faculty of Medicine, Shimane University
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Matsumoto Takashi
Department Of Cardiology Kyoto First Red Cross Hospital
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MASE Mitsuhito
Department of Neurosurgery, Nagoya City Unviersity Medical School
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Mase Mitsuhito
Department Of Neurosurgery Nagoya City University Medical School
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IWATA Akira
Department of Computer Science & Engineering, Nagoya Institute of Technology
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Mase Mitsuhito
Department Of Neurosurgery And Restorative Neuroscience Graduate School Of Medical Sciences Nagoya C
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Yamada Kazuo
Department Of Architecture Faculty Of Engineering Aichi Institute Of Technoligy
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Matsumoto Takashi
Department Of Neurosurgery Nagoya City University Medical School
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Matsumoto Takashi
Department Of Applied Physics Waseda University
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Yamada Kazuo
Department of Applied Molecular Chemistry, College of Industrial Technology, Nihon University
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Matsumoto Takashi
Department of Applied Material Science, Faculty of Integrated Arts and Science, University of Tokushima
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