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Orbital cavernous hemangioma presenting with atypical appearance: case report
Osamu Akiyama1, Satoshi Tsutsumi, Yasuo Suga
1Department of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Neurologia Medico-Chirurgica
|May 26, 2009
Summary
A rare orbital cavernous hemangioma presented atypically in a young male with retroorbital pain and eyelid drooping. Subtotal resection was performed due to adherence, highlighting the need for conservative surgical approaches.
Area of Science:
- Ophthalmology
- Neurosurgery
- Pathology
Background:
- Orbital cavernous hemangiomas are benign vascular tumors, typically presenting in middle-aged adults.
- Atypical presentations can complicate diagnosis and surgical planning for orbital masses.
Observation:
- A 25-year-old male experienced progressive unilateral ptosis and retroorbital dysesthesia.
- Neuroimaging revealed an atypical, irregularly-shaped orbital mass encasing the optic nerve.
- Intraoperative findings included a tightly adhering, purplish mass requiring subtotal resection.
Findings:
- Histopathological diagnosis confirmed cavernous hemangioma.
- The tumor's adherence to the optic nerve precluded complete resection.
- Subtotal tumor removal was achieved without compromising vision.
Implications:
- Orbital cavernous hemangiomas can exhibit unusual clinical and imaging features.
- Conservative surgical management is recommended for poorly demarcated tumors to minimize visual morbidity.
- Careful preoperative assessment is crucial for managing hazardous orbital tumors.