title: [A Girl with Intraorbital Varix: A Case Report].
abstract: We report a case of intraorbital varix. A 16-year-old girl showed sudden left-sided exophthalmos after vomiting. After several episodes of vomiting, she developed complete loss of vision in the left eye, followed by orbital pain, disruption of eye movement, and periorbital swelling. No change in symptoms or signs was observed after the Valsalva maneuver or jugular vein compression. Computed tomography (CT), magnetic resonance imaging (MRI), and angiography were inconclusive. Transcranial surgery revealed a large varix near the optic nerve. The lesion could not be completely resected because the orbital fat interfered with its complete visualization. We cauterized the lesion to reduce its volume. The patient's symptoms improved markedly after surgery and cauterization. Thus, cauterization appears to be an effective strategy to reduce the volume of an unresectable intraorbital varix.
authors.affiliation: Department of Neurosurgery, Baba Memorial Hospital.
authors.forename: Toshio
authors.initials: T
authors.lastname: Uesaka
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Nakajima
authors.forename: Takeo
authors.initials: T
authors.lastname: Amemiya
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Matsuo
authors.forename: Shintaro
authors.initials: S
authors.lastname: Nagaoka
authors.forename: Katsuharu
authors.initials: K
authors.lastname: Kameda
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ikai
authors.forename: Junji
authors.initials: J
authors.lastname: Uno
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Inoue
authors.forename: Hidefuku
authors.initials: H
authors.lastname: Gi
mesh_terms: D000293:Adolescent; D000792:Angiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D064847:Multimodal Imaging; D009916:Orbital Diseases / Q000209:etiology; D014648:Varicose Veins / Q000150:complications / Q000175:diagnosis* / Q000601:surgery