Treatment and long-term outcome of patients with orbital cavernomas

Scheuerle, Alexander F.; Steiner, Hans-Herbert; Kolling, G. H.; Kunze, Stefan; Aschoff, A.

doi:10.1016/j.ajo.2004.03.011

Cited by 107 publications

(100 citation statements)

References 22 publications

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“…Therefore, the subset of patients with asymptomatic orbital masses that are clinically and radiologically compatible with cavernous hemangiomas may never require surgery. 8,11) Here, we report the case of an adult patient with orbital cavernous hemangioma who suffered sudden onset of ophthalmopathy due to spontaneous bleeding from an orbital cavernous hemangioma. The symptoms of the patient were relieved by surgery.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Hemorrhage From Orbital Cavernous Hemangioma Resulting in Sudden Onset of Ophthalmopathy in an Adult

Yamamoto

Takahashi

Nakano

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 61-year-old woman presented with a very rare case of spontaneous bleeding from an orbital cavernous hemangioma manifesting as sudden onset of ophthalmic pain, proptosis, diplopia, and nausea. Magnetic resonance (MR) imaging and computed tomography (CT) revealed an intraconal, well-demarcated cystic mass with hemorrhage. The mass was immediately removed through a transcranial approach. Histological examination showed that the mass was a cavernous hemangioma. Ophthalmopathy was resolved by surgery. Orbital cavernous hemangioma is very common in adults, but spontaneous bleeding is extremely rare relative to intracranial cavernous hemangiomas. This rare case emphasizes the importance of careful neuroimaging evaluation with MR imaging and CT for diagnosing orbital cavernous hemangioma associated with spontaneous bleeding.

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Section: Introductionmentioning

confidence: 99%

Spontaneous Hemorrhage From Orbital Cavernous Hemangioma Resulting in Sudden Onset of Ophthalmopathy in an Adult

Yamamoto

Takahashi

Nakano

et al. 2012

Neurol. Med. Chir.(Tokyo)

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“…The most of the common sign and symptoms was pain less proptosis, diplopia, lump and recurrent obstructed vision. Most of the cavernous hemangioma was found between the optic nerve and extraocular muscles with lateral aspect of the intraconal space [13,16]. Our study showed that mostly cavernous hemangioma were with well-defined margin, oval/ round shaped, intraconal space, slightly high density, low signal intensity on T1WI, high signal intensity on T2WI and gradual homogeneous enhancement (Figure 2).…”

Section: Orbital Hemangiomamentioning

confidence: 71%

Valuation of Four-Quadrant Location Method in Diagnosis and Differential Diagnosis of the Orbital Tumor by Comparison Study Combining CT and MRI with Pathology

Akter¹,

Hasan²,

Sana³

et al. 2017

J Pain Relief

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Purpose: To valuate four-quadrant location method in diagnosis and differential diagnosis of the orbital tumor by comparison study combining CT and MRI with pathology. Materials and methods:Data of 87 patients (44 female and 43 males), aged 1 to 84 years were recruited in this study, including the computed tomography(CT), Magnetic resonance imaging (MRI), and histopathology diagnosis. All orbital tumors were verified radiologically and pathologically in the Hospital of Jinggangshan University from Sep-2008 to April-2016 patients underwent CT scanning (31 Conventional CT and 18 dynamic contrast enhancements CT) and 38 patients underwent MR Imaging (35 dynamic contrast enhancement MRI and 3 conventional MRI). The clinical data were retrieved from the medical record. We classified the orbital region according to four-quadrant and eight-space (FQES) division and traditional muscleconal division with center point of optic nerve. Results:Among the 87 cases of the orbital tumors, 70 cases (80.45%) were orbital benign tumors and 17 cases (19.54%) were malignant tumors. Regarding the location of the orbit, 41 lesions (47.12%) were in superolateral, 18 lesions (20.68%) were in inferolateral, 16 lesions (18.39%) were in inferomedial, 8 lesions (9.19%) were in superomedial, 3 lesions (3.44%) were in globe, 1 lesion (1.14%) was in optic nerve. The most common tumors are hemangiomas (total 36 cases: 12 in inferolateral, 8 in inferomedial, 9 in superolateral, 7 in superomedial) and 9 cases of pleomorphic adenoma were in superolateral, 9 cases of dermoid cyst ( 7 in superolateral and in 2 inferomedial), 5 cases of inflammatory pseudotumor (4 in superolateral and 1 in inferomedial), 7 cases of lymphoma (3 in superolateral, 2 in inferolateral and 2 in inferomedial ), 3 cases of adenoid cystic carcinoma in superolateral, 3 caese solitary fibrous tumor ( 2 in suprolateral and 1 in inferomedial), 3 cases lipoma (1 in superomedial, 1 in superolateral and 1 in inferolateral), 2 cases choroidal melanoma were in globe, 1 case of metastasis in superolateral, 1 case of meningioma in optic nerve, 1 case of malignant melanoma was in superolateral. The orbital tumors appeared in orbit with mostly regular, oval and rounds shape, well defined margin. The size ranged from 0.8 mm × 4.5 cm to 4.5 cm × 2.0 cm. The CT revealed iso-density in 22, slightly high-density in 15, mixed density in 6, low density in 5 and high density in 1 lesion. Among them, 18 were contrast enhancements. On T1WI image, the MRI revealed low signal intensity in 23 cases, slightly low signal in 4 cases, iso signal intensity in 7 case, high signal intensity in 3 cases, mixed signal intensity in 1 case on T2WI, it revealed high signal intensity in 23 cases, slightly high intensity in 7 cases, low signal intensity in 4 cases, iso signal intensity in 3 cases, mixed signal intensity in 1 case. Among them, 35 contrast enhancement MRI and 3 were non contrast MRI. Benign tumor was diagnosed in 70 patients, of them 34 were male and 36 were female, and the mean age was 45.19 ...

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“…They are seen more frequently in female, with peak incidence in early middle age [1]. Patients with orbital cavernous hemangioma usually present in the fifth decade of life [3]. They often result in proptosis, pain, swelling, motility disturbance, visual impairment and disfigurement.…”

Section: Discussionmentioning

confidence: 99%

Orbital Cavernous Hemangioma With Proptosis in a Child

Cho

2015

J Med Cases

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Vascular malformations are the most common space-occupying lesions of the orbit in children. Cavernous hemangiomas are the most common benign orbital tumors of adults, while capillary hemangioma is the most common in childhood. A 15-year-old boy was presented with a mass in the right orbit, causing unilateral painless proptosis. Although preoperative computed tomography (CT) scan and magnetic resonance imaging (MRI) are important to diagnose this disease entity, it is difficult to differentiate vascular malformations from other lesion. Right zygomatico-orbital craniotomy was performed to remove the orbital mass. Histological examination showed characteristics of cavernous hemangioma.

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Treatment and long-term outcome of patients with orbital cavernomas

Cited by 107 publications

References 22 publications

Spontaneous Hemorrhage From Orbital Cavernous Hemangioma Resulting in Sudden Onset of Ophthalmopathy in an Adult

Spontaneous Hemorrhage From Orbital Cavernous Hemangioma Resulting in Sudden Onset of Ophthalmopathy in an Adult

Valuation of Four-Quadrant Location Method in Diagnosis and Differential Diagnosis of the Orbital Tumor by Comparison Study Combining CT and MRI with Pathology

Orbital Cavernous Hemangioma With Proptosis in a Child

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