Intracranial Extension and Bone Destruction in Orbital Pseudotumor

Lp, Frohman; Mj, Kupersmith; Lang, Jean-Nicolas; Reede, Deborah L.; Rt, Bergeron; Aleksic, Slobodan; Trasi, S. S.

doi:10.1001/archopht.1986.01050150080032

Cited by 89 publications

(32 citation statements)

References 20 publications

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“…4,7,13) However, orbital bone destruction can occur even in cases of pseudotumor 3) or cholesterol granuloma. 6) If clinical evidence of intratumoral hemorrhage is found in a patient with an orbital tumor, malignancy should first be differentiated from other diseases such as cavernous angioma, 17,19) lymphangioma, 10) and cholesterol Unusual Progression of Lacrimal Pleomorphic Adenoma granuloma.…”

Section: Discussionmentioning

confidence: 47%

Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland-Case Report-

Miyazaki

Yamasaki

Moritake

et al. 2005

Neurol. Med. Chir.(Tokyo)

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A 72-year-old female complained of acute pain on left eye movement followed by progressive exophthalmos. Neuroimaging revealed a large well-demarcated lesion consisting of solid and cystic parts, as well as bone destruction and hemorrhage, within the left orbital cavity. The preoperative diagnosis was pleomorphic adenoma with or without malignant transformation, or cavernous angioma. En bloc excision including adjacent tissues was planned to resolve the progressive symptoms and to obtain a histological diagnosis. The transcranial route was chosen since tumor invasion to the cranial base was possible. The histological diagnosis was pleomorphic adenoma. Pathological and preoperative radiological examinations indicated that repeated intratumoral hemorrhage had caused the orbital bone destruction and acute orbital pain. Neoplasms should be differentiated from a wide spectrum of other possible pathologies. Accurate clinical diagnosis of neoplasm in the orbital cavity is important for correct therapeutic management. Malignancy is generally suspected if painful and progressive signs and symptoms are associated with an orbital mass lesion. The present case suggests that pleomorphic adenoma should also be considered in the differential diagnosis. The therapeutic strategy for lacrimal gland tumors remains controversial, so a flexible management approach is required.

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Section: Discussionmentioning

confidence: 47%

Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland-Case Report-

Miyazaki

Yamasaki

Moritake

et al. 2005

Neurol. Med. Chir.(Tokyo)

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“…Tolosa-Hunt syndrome caused by the involvement of the superior orbital fissure and dura around the cavernous sinuses has been described in case reports [8,9]. Apart from intracranial invasion through superior and inferior orbital fissures or optic canal, extension into the anterior cranial fossa through anterior ethmoid foramen for the anterior ethmoidal artery was shown in these histologically benign, but aggressive, lesions [12].…”

Section: Discussionsupporting

confidence: 44%

“…Thus unlike Jakobiec and Jones, they believed that sclerosing type represents a separate subtype of the orbital pseudotumors [5]. A few reports of sclerosing inflammatory diseases of the orbits that show invasion of the bone, adjacent paranasal sinuses, dura, and brain have been reported [8,9,10,11,12]. The sclerosing variant of pseudotumor orbita has been accepted as a unique clinicopathological entity that is locally aggressive and may be related to multifocal fibrosclerosis.…”

Section: Discussionsupporting

confidence: 40%

Multifocal fibrosclerosis: a new case report and review of the literature

et al. 2001

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A case of multifocal fibrosclerosis is presented with MR images. Bilateral sclerosing orbital pseudotumor invading cavernous sinuses were the presenting disorder. Magnetic resonance imaging showed involvement of paranasal sinuses bilaterally and multiple supratentorial dural masses. Retroperitoneal fibrosis was associated with the condition. Multifocal involvement should be considered in patients with sclerosing orbital pseudotumor and an imaging approach should be performed on the appropriate clinical condition to document possible coexistence of other disorders including retroperitoneal fibrosis, mediastinal fibrosis, sclerosing cholangitis, and Riedel's thyroiditis

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“…These reports cannot be compared, because the diagnostic methods, the severity of the patients' conditions and patient ages differ [2,[7][8][9][10][11]. However, pseudotumor with intracra nial extension is rare [7,[12][13][14], and only 1 case reported by Noble et al [14] showed a serious course similar to that which we observed. Therefore, although a case such as ours is extremely rare, the serious progression may have resulted from the delayed diagnosis, because the therapeutic re sponse and the prognosis are worse in patients when there has been a longer interval between diagnosis and therapy [7], Early diagnosis might have at least prevented the severe right visual acuity loss in this case.…”

Section: Discussionsupporting

confidence: 42%

Cystoid Macular Edema as an Initial Symptom of Inflammatory Orbital Pseudotumor

Igarashi

Ishiko

et al. 1997

Ophthalmologica

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We report a patient with pseudotumor with cystoid macular edema (CME). The initial finding in our case was only CME with a bilateral visual acuity decrease to 20/25. Approximately 3 months later, the visual acuity dropped to light perception in the right eye and 20/200 in the left eye. Computed tomography scan revealed a mass in the right orbital apex and band-shaped enhancement in the cavernous sinus and along the upper margin of the petrous bone. However, no mass was found intraoperatively, and a biopsy specimen of the bulging levator muscle showed polymorphonuclear leukocyte infiltration. The CME resolved postoperatively. The tumor also seemed to resolve; however, after 1 year, the tumor recurred and invaded the brain tissue. A temporal lobectomy revealed widespread inflammatory cell infiltration. To ensure early diagnosis, pseudotumor should be considered in patients with CME of which the cause is uncertain.

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Intracranial Extension and Bone Destruction in Orbital Pseudotumor

Cited by 89 publications

References 20 publications

Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland-Case Report-

Unusual Progression of Pleomorphic Adenoma of the Lacrimal Gland-Case Report-

Multifocal fibrosclerosis: a new case report and review of the literature

Cystoid Macular Edema as an Initial Symptom of Inflammatory Orbital Pseudotumor

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