Intracranial extension of orbital pseudotumour

Clifton, Andrew; Borgstein, Rudi; Moseley, I. F.; Kendall, B. E.; Shaw, Penny

doi:10.1016/s0009-9260(05)81462-x

Cited by 55 publications

(29 citation statements)

References 11 publications

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“…Meanwhile, IMTs occurring at various extracranial locations in the head and neck have also been reported to extend intracranially to involve the meninges. 5,8,[13][14][15] The findings of chronic orbital lesions in 2 patients of the present study are consistent with prior reports on orbital IMT. 5,13,14 Intracranial spread to the meninges of orbital pseudotumor was reported in 8 (8.9%) of 90 consecutive biopsy-proved cases.…”

Section: Discussionsupporting

confidence: 92%

“…5,8,[13][14][15] The findings of chronic orbital lesions in 2 patients of the present study are consistent with prior reports on orbital IMT. 5,13,14 Intracranial spread to the meninges of orbital pseudotumor was reported in 8 (8.9%) of 90 consecutive biopsy-proved cases. 13 Like the 2 cases in the present study, intraspinal IMT has been reported as a mass or a segmental thickening of the dura, with varying locations: epidural, extramedullary intradural, and even intramedullary without dural attachment.…”

Section: Discussionsupporting

confidence: 92%

“…5,13,14 Intracranial spread to the meninges of orbital pseudotumor was reported in 8 (8.9%) of 90 consecutive biopsy-proved cases. 13 Like the 2 cases in the present study, intraspinal IMT has been reported as a mass or a segmental thickening of the dura, with varying locations: epidural, extramedullary intradural, and even intramedullary without dural attachment. 9 Although the radiologic findings of dural thickening with or without dural-based mass, T2 low SI of enhancing dural lesions, and adjacent focal edema appear to be common in meningeal IMT, those features can overlap several other conditions, including fibroblastic en plaque meningioma, lymphoma, and idiopathic hypertrophic pachymeningitis.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Imaging Features of Meningeal Inflammatory Myofibroblastic Tumor

Kim¹,

Chang²,

Na³

et al. 2009

AJNR Am J Neuroradiol

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Imaging Features of Meningeal Inflammatory Myofibroblastic Tumor

Kim¹,

Chang²,

Na³

et al. 2009

AJNR Am J Neuroradiol

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“…Histológica-mente se caracteriza por un infiltrado inflamatorio constituido por polimorfonucleares, linfocitos, células plasmá-ticas, macrófagos y eosinófilos con aumento del tejido conectivo circundante, edema y fibrosis (18,19) . En la mayoría de casos, la lesión está circunscrita a la ór-bita y puede comprometer cualquiera de las estructuras anatómicas presentes produciendo miositis, dacrioadenitis, perineuritis, periescleritis, perivasculitis o un proceso difuso que compromete varias estructuras (20) . De forma infrecuente, como ocurrió en nuestro caso, la EIOI se extiende a través de la fisura orbitaria superior, la fisura orbitaria inferior o el canal óptico hacia otras regiones, siendo las preferidas el seno cavernoso y la fosa craneal media (20,21,22) .…”

Section: Discussionunclassified

Infarto cerebral limítrofe secundario a enfermedad inflamatoria orbitaria idiopática

et al. 2018

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Conflictos de interés: Los autores declaran no tener conflictos de interésResumen Los infartos limítrofes son aquellos ubicados en regiones entre dos territorios vasculares contiguos y la enfermedad inflamatoria orbitaria idiopática es un proceso inflamatorio orbitario inespecífico. Presentamos el caso de un varón de 60 años con exoftalmos, ptosis palpebral, disminución de agudeza visual derecha y afección de los nervios oculomotores derechos. Los estudios de imágenes mostraron una masa retro ocular derecha con invasión de los senos cavernosos y esfenoidal. Durante la hospitalización, el paciente sufrió un infarto cerebral limítrofe por compresión de la arteria carótida interna derecha en su segmento intracavernoso. La exéresis y la anatomía patológica de la lesión orbitaria fueron compatibles con la enfermedad inflamatoria orbitaria idiopática. Nuestro caso muestra a la enfermedad inflamatoria orbitaria idiopática como una causa inhabitual de infarto cerebral limítrofe. Palabras clave: Infarto Cerebral; Seudotumor Orbitario; Seno Cavernoso; Trastornos Cerebrovasculares (fuente: DeCS BIREME). Abstract Watershed cerebral infarctions are those located in regions between two adjacent vascular territories and Idiopathic orbital inflammatory disease is a nonspecific inflammatory process of the orbit. We report the case of a 60-year-old man who presented suddenly in the right eye: exophthalmos, ptosis, reduced visual acuity and paresis of the extraocular muscles innervated by the III, IV and VI cranial nerves. Imaging studies showed a right retro-ocular mass with invasion of the ipsilateral cavernous and sphenoid sinus. During hospitalization, suddenly he presented a watershed infarction with narrowing of the right internal carotid artery in its intracavernous portion. Surgical excision of the lesion was performed and pathology showed a characteristic infiltration of idiopathic orbital inflammatory disease. Our case shows idiopathic orbital inflammatory disease as an uncommon cause of watershed cerebral infarction.

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“…4 -7 To date, up to 15 patients with IOI have been reported with intracranial involvement (Table 1). 2,3,[5][6][7][8][9][10][11][12][13] In the vast majority of patients with idiopathic orbital and extraorbital inflammation, the cranial cavity or sinuses are usually involved (Table 1).…”

Section: Discussionmentioning

confidence: 99%