Orbital Dermoid Cyst With Intratumoral Inflammatory Hemorrhage
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概要
- 論文の詳細を見る
An 85-year-old female presented with a 3-month history of worsening hyperlacrimation and blurred vision following blunt head injury. Her past medical history was unremarkable. Her blood examination identified no abnormal findings. Neuroophthalmological inspection revealed extraocular movement disorder and mild exophthalmos on the affected side. Her visual acuity was not disturbed. Neuroimaging showed a cystic mass located extraconally in the superolateral compartment of the anterior orbit, without enhancement by contrast medium. Surgical exploration resulted in escape of chocolate-colored, liquefied hematoma during dissection. No vascular lesion was found. A grayish-white cyst wall was found adhering strongly to the lateral and superior rectus muscles. The lacrimal gland was not identified. The mass was totally resected. Histological examination indicated dermoid cyst with inflammatory interstitial hemorrhage. No component of vascular malformation or atypia was found. Hyperlacrimation and extraocular movement improved postoperatively. We thought that the previous blunt head injury might have induced intratumoral hemorrhage in the preexisting dermoid cyst and that the escaped contents caused inflammatory irritation, resulting in the hyperlacrimation. Dermoid cyst may show atypical presentation with intratumoral hemorrhage and should always be included in the differential diagnosis of orbital tumor.
- 社団法人日本脳神経外科学会の論文
- 2008-08-15
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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OKURA Hidehiro
Department of Neurosurgery, Juntendo Urayasu Hospital
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KUDO Kentaro
Department of Neurosurgery, Juntendo Urayasu Hospital
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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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Kudo Kentaro
Department Of Neurosurgery Juntendo Urayasu Hospital
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Okura Hidehiro
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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Okura Hidehiro
Department Of Neurosurgery Juntendo University School Of Medicine
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ABE Yusuke
Department of Biomedical Engineering, Graduate School of Medicine, The University of Tokyo
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