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Multiple cavernous hemangiomas of the orbits.

M Ohbayashi1, K Tomita, S Agawa

  • 1Department of Neurological Surgery, School of Medicine, University of Tokushima, Japan.

Surgical Neurology
|January 1, 1988
PubMed
Summary

Simultaneous orbital cavernous hemangiomas were diagnosed in a 45-year-old woman. Surgical resection via subfrontal and Krönlein-Berke approaches successfully treated these benign orbital tumors.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Pathology

Background:

  • Orbital tumors can present with varied symptoms including proptosis, decreased visual acuity, and diplopia.
  • Computed tomography (CT) scanning is a crucial diagnostic tool for evaluating orbital masses.
  • Cavernous hemangiomas are benign vascular tumors that can occur in various locations, including the orbit.

Observation:

  • A 45-year-old female presented with bilateral proptosis, reduced visual acuity, and diplopia.
  • CT imaging revealed simultaneous intraocular tumors in both orbits.
  • Tumor locations were described as lateral to the muscle cone in the right orbit and inferiorly in the left orbit.

Findings:

  • Surgical resection of the right orbital tumor was performed using the subfrontal extradural approach.

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  • The left orbital tumor was resected utilizing the Krönlein-Berke method.
  • Histopathological examination confirmed both tumors as cavernous hemangiomas with identical macroscopic and microscopic characteristics.

    • Implications:

    • This case highlights the importance of considering bilateral orbital cavernous hemangiomas in the differential diagnosis of proptosis and visual disturbances.
    • Successful surgical management of orbital cavernous hemangiomas can restore visual function and improve patient outcomes.
    • The identical nature of the bilateral tumors suggests a potential systemic or genetic predisposition, warranting further investigation.