Pulsatile Proptosis due to Intraorbital Meningocele

Rumund, Anouke van; Verrips, Aad; Verhagen, W. I. M.

doi:10.3389/fneur.2017.00290

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…[3,8] In this report, both patients exhibited postoperative sequelae consisting of 6-12 months of postoperative residual unilateral downward displacement/ophthalmoplegia. [8] Longterm outcomes would likely have been improved had both patients undergone earlier surgery. [3,4,6,8]…”

Section: Surgerymentioning

confidence: 63%

“…Early surgical intervention can minimize postoperative morbidity and improve functional and cosmetic results. [3,5,7,8] e delays in our two cases were due to the lack of access to appropriate specialists, facilities, and diagnostic studies.…”

Section: Delay Of Managementmentioning

confidence: 85%

“…Orbital meningoceles account for between 1 and 1.5% of all meningoceles. [8] Most are primarily congenital abnormalities, but a subset is due to trauma. [2,5] CT scans alone are typically…”

Section: Discussion Epidemiologymentioning

confidence: 99%

“…[2,4] Large defects can typically be closed by reconstructing the orbital roof with titanium plates and microscrews; when these are not available, bone graft may be utilized. [4,6,8] To address persistent postoperative CSF leaks, repeated lumbar punctures may be performed if lumbar drains are not available. Notably, the incidence of perioperative meningitis is high at 9-10% and requires appropriate antibiotic therapy.…”

Section: Surgerymentioning

confidence: 99%

“…[8] Longterm outcomes would likely have been improved had both patients undergone earlier surgery. [3,4,6,8]…”

Section: Surgerymentioning

confidence: 99%

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Orbital meningocele in two case studies

Mbaye

Thiam

Cissue

et al. 2020

Surgical Neurology International

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Background: Orbital meningocele is a rare congenital malformation characterized by herniation of the meninges into the orbit through a congenital defect in the orbital bones. Much less commonly, it occurs at the site of natural openings (e.g., optic foramen and sphenoidal fissure) or can be attributed to trauma. Cases Description: We report two patients with progressive proptosis found to have orbital meningoceles, respectively, attributed to congenital and traumatic lesions. The computed tomography scan in one case documented a traumatic orbital bony defect, but in the other case, led the mistaken diagnosis of an arachnoid cyst. Conclusion: Both patients underwent two operations each to ultimately achieve successful surgical correction of their respective traumatic and congenital orbital meningoceles.

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Section: Surgerymentioning

confidence: 63%

Section: Delay Of Managementmentioning

confidence: 85%

“…Orbital meningoceles account for between 1 and 1.5% of all meningoceles. [8] Most are primarily congenital abnormalities, but a subset is due to trauma. [2,5] CT scans alone are typically…”

Section: Discussion Epidemiologymentioning

confidence: 99%

Section: Surgerymentioning

confidence: 99%

“…[8] Longterm outcomes would likely have been improved had both patients undergone earlier surgery. [3,4,6,8]…”

Section: Surgerymentioning

confidence: 99%

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Orbital meningocele in two case studies

Mbaye

Thiam

Cissue

et al. 2020

Surgical Neurology International

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Exoscopic Repair of Orbital Meningoencephalocele Causing Pulsatile Proptosis: A 2-Dimensional Operative Video

Nandoliya,

Sadagopan,

Karras

et al. 2024

Operative Neurosurgery

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A Pathophysiological Approach to Spontaneous Orbital Meningoceles: Case Report and Systematic Review

Gaudioso,

Biancoli,

Battistuzzi

et al. 2024

JPM

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Background: Spontaneous orbital cephaloceles are a rare condition. The purpose of this study is to provide a description of a clinical case and to carry out a systematic literature review. Methods: A systematic review of the English literature published on the Pubmed, Scopus, and Web of Science databases was conducted, according to the PRISMA recommendations. Results: A 6-year-old patient was admitted for right otomastoiditis and thrombosis of the sigmoid and transverse sinuses, as well as the proximal portion of the internal jugular vein. Radiological examinations revealed a left orbital mass (22 × 14 mm) compatible with asymptomatic orbital meningocele (MC) herniated from the superior orbital fissure (SOF). The child underwent a right mastoidectomy. After the development of symptoms and signs of intracranial hypertension (ICH), endovascular thrombectomy and transverse sinus stenting were performed, with improvement of the clinical conditions and reduction of the orbital MC. The systematic literature review encompassed 29 publications on 43 patients with spontaneous orbital MC. In the majority of cases, surgery was the preferred treatment. Conclusions: The present case report and systematic review highlight the importance of ICH investigation and a pathophysiological-oriented treatment approach. The experiences described in the literature are limited, making the collection of additional data paramount.

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Pulsatile Proptosis due to Intraorbital Meningocele

Abstract: We present a case of a 79-year-old man with a non-symptomatic pulsatile proptosis of the left eye. Magnetic resonance imaging revealed a meningocele into the left orbit due to an osseous defect in the orbital roof.

Cited by 3 publications

References 5 publications

Orbital meningocele in two case studies

Orbital meningocele in two case studies

Exoscopic Repair of Orbital Meningoencephalocele Causing Pulsatile Proptosis: A 2-Dimensional Operative Video

A Pathophysiological Approach to Spontaneous Orbital Meningoceles: Case Report and Systematic Review

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