Orbital cavernous hemangioma with bone erosion

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Jianhua YanZhongyao Wu

Abstract

To report a rare computed tomography (CT) feature in one case of orbital cavernous hemangioma (OCH). Case report. The clinical features, CT findings, and pathological examination are presented. A 43-year-old Chinese man developed slowly progressive proptosis and decreased vision in his left eye over 13 years. The best-corrected visual acuity was 20/400 OS. Fundus examination showed moderate disc pallor in the left eye. CT scan revealed a 3.7 x 3.5-cm homogeneous soft tissue mass occupying nearly the whole retrobulbar space. There was focal bone erosion of both the deep lateral orbital wall and deep superior wall. At surgery, a 3.5 x 3.0 x 3.3-cm purplish, well-defined, round mass was removed intact without complication. The histopathologic examination proved it to be OCH. One year later, the visual acuity recovered to 20/15. Patients with OCH may show bone erosion on CT scan, so the presence of bone defect on CT scan should consider the possibility of OCH.

References

May 1, 1990·Ophthalmology·J W HendersonJ A Garrity
Oct 30, 2004·Orbit·Jianhua Yan, Zhongyao Wu

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Citations

Mar 3, 2012·PloS One·Jianhua YanYongping Li
Aug 12, 2015·European Journal of Medical Research·Konrad R KochLudwig M Heindl
Oct 3, 2018·The Journal of Craniofacial Surgery·Abbas BagheriMehdi Tavakoli
Mar 29, 2011·Orbit·Ashwani SethiPrashant Naithani
Aug 19, 2007·Current Opinion in Ophthalmology

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Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.

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