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Aneurysmal bone cyst of the orbit
Wiesław Marcol1, Marek Mandera, Izabela Malinowska
1Division of Pediatric Neurosurgery, Department of Pediatric Surgery, Medical University of Silesia, Katowice, Poland. Vie@alpha.net.pl
Pediatric Neurosurgery
|August 12, 2006
Summary
Aneurysmal bone cyst in a 12-year-old boy caused eye proptosis. Surgical removal via craniotomy led to a full recovery, highlighting effective treatment for this rare orbital tumor.
Area of Science:
- Ophthalmology
- Neurosurgery
- Pediatric Oncology
Background:
- Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions, often presenting in long bones and the spine.
- Orbital ABCs are exceptionally rare, particularly in pediatric patients, and can present with subtle or dramatic symptoms.
Observation:
- A 12-year-old boy presented with left eye proptosis and painless orbital rim swelling, developing over 3 months.
- Symptoms appeared approximately 2 months post-minor head injury, with radiological findings indicating an osteolytic, multicystic lesion.
Findings:
- The orbital lesion was confirmed as an aneurysmal bone cyst filled with hematic fluid.
- Surgical excision via left frontal craniotomy and curettage successfully removed the cyst.
Implications:
- This case highlights the importance of considering rare orbital tumors in pediatric patients with proptosis, even after minor trauma.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes in orbital ABCs.
- Further research into the pathogenesis and optimal management of orbital ABCs in children is warranted.