Multiple cavernous hemangiomas presenting as orbital apex syndrome.
A 41-year-old man presented with a 7-year history of gradually increasing right proptosis and a 2-year history of decreased vision and limited eye movements. Right proptosis (11 mm), limitation of movement in all gazes, anisocoria, and visual impairment implied orbital apex compression. Computed tomography showed several distinct lesions with mild delayed enhancement extending to the orbital apex. Through a lateral orbitotomy, 10 discrete hemangiomas were removed uneventfully. Histopathologic findings were consistent with cavernous hemangioma in all tumors removed. Proptosis resolved after surgery at 3 to 4 weeks. Visual acuity was unchanged (20/25), and eye movement significantly improved at last follow-up, 15 months after surgery.
Kashkouli
Mohsen Bahmani
MB
Oculoplastic Service, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. bahmanik@yahoo.com
Imani
Marjan
M
Tarassoly
Kia
K
Tarrasoly
Kia
K
Kadivar
Maryam
M
D000328:Adult; D003389:Cranial Nerve Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D009882:Ophthalmic Nerve; D013508:Ophthalmologic Surgical Procedures; D009918:Orbital Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed