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Painful intraorbital meningiomas.

S J Wroe1, A J Thompson, W I McDonald

  • 1Institute of Neurology, National Hospital for Nervous Diseases, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|November 1, 1991
PubMed
Summary

Meningiomas in the orbital apex can cause retroocular pain, mimicking inflammatory conditions. Early investigation and surgical exploration are crucial for accurate diagnosis and treatment.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Oncology

Background:

  • Meningiomas are tumors arising from meningeal cells.
  • Orbital apex meningiomas are rare and can present with varied symptoms.

Observation:

  • Three cases of meningioma involving the orbital apex are presented.
  • Patients experienced progressive or episodic retroocular pain.
  • Pain preceded visual loss and other symptoms by several months.

Findings:

  • Two cases showed steroid-responsive pain, leading to a misdiagnosis of orbital pseudotumor in one instance.
  • Meningioma was confirmed in all three cases.

Implications:

  • This highlights the importance of thorough investigation for orbital inflammatory diseases with atypical presentations.
  • Surgical exploration may be necessary for definitive diagnosis.
  • Considering meningioma in the differential diagnosis of orbital pain is crucial.

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