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Frontal Disconnection for Treating Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia in Epilepsy (MOGHE) in the Frontal Lobe

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Ectopic orbital brain diagnosed 20 years after symptomatic presentation.

Lisa D Mihora¹, Emiko Furusato, Matthew Katus

¹Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas, USA. lisami-hora@yahoo.com

Orbit (Amsterdam, Netherlands)

|October 21, 2009

Summary

Ectopic orbital brain, a rare condition, can cause symptoms like diplopia due to mass effect. This case highlights a unique 20-year delay between symptom onset and diagnosis of this unusual brain tissue.

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Area of Science:

Ophthalmology
Neurology
Pathology

Background:

Ectopic brain tissue in the orbit is an extremely rare congenital anomaly.
Most reported cases involve asymptomatic findings or symptoms related to mass effect.

Observation:

This report details an unusual case of ectopic orbital brain presenting with symptomatic diplopia.
The patient experienced symptoms for 20 years before the condition was diagnosed.

Findings:

The diagnosis was confirmed through imaging and histopathological examination.
This case represents one of the longest symptomatic periods preceding diagnosis in the literature.

Implications:

Highlights the importance of considering rare diagnoses in persistent ophthalmological symptoms.
Suggests that ectopic orbital brain, though rare, can present with significant delayed symptomatology.
Contributes to the limited literature on orbital ectopic brain, emphasizing varied clinical presentations.