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Updated: Aug 19, 2026
Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
[Eyelid hemangiomas in infants: contribution of MRI]
A E Millischer-Bellaïche1, O Enjolras, Ch André
1Service de Radiologie, Hôpital St Vincent de Paul, 75674 Paris.
Objectives:
To describe the MR imaging features and patterns of local extension of hemangiomas of the eyelid in correlation with the clinical presentation.
Patients And Methods:
Retrospective study including 21 MRI (GE, 1.5T, T1 +/- Gadolinium, T2 +/- fat saturation, 3 planes) examinations performed for eyelid hemangiomas with occlusion>50% and/or ocular deviation. All examinations were reviewed by two observers using a standardized list of criteria.
Results:
All hemangiomas had a heterogeneous signal described as "salt and pepper" on T2W sequences. The extension was extra-orbital in 8 cases, intra-orbital in 13 cases, extra-conal in 9 cases, intra-conal in 4 cases. The "fat sat T2" sequence provided the best anatomical details. There was a strong correlation between ocular deviation at clinical examination and intra-orbital extension, but no correlation between the extent of eyelid involvement and orbital location of the hemangioma. Dysplastic cerebellum anomalies related to the PHACES syndrome were present in 3 patients.
Conclusion:
MRI of the brain and orbits provides information that appears essential for optimal management of infants with hemangioma of the eyelid.