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[Primary intraorbital meningiomas].

A Fortuna, S Nicole, L Palma

    Rivista Di Neurologia
    |May 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    This study reviews 124 intra-orbital meningioma cases, detailing their clinical and surgical features. Complete surgical removal, including the optic nerve or eye if invaded, is recommended for optimal outcomes.

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    Area of Science:

    • Ophthalmology
    • Neurosurgery
    • Oncology

    Background:

    • Intra-orbital meningiomas are rare tumors arising from meningothelial cells within the orbit.
    • Understanding their origin and clinical presentation is crucial for diagnosis and management.

    Observation:

    • The literature review identified 124 intra-orbital meningioma cases.
    • These included 90 meningiomas of the optic nerve sheath (23 intraforaminal, 67 extraforaminal) and 34 extradural meningiomas.
    • Four original cases (3 extradural, 1 optic nerve sheath) are presented.

    Findings:

    • The study details clinico-surgical aspects and differential diagnosis of intra-orbital meningiomas based on their origin.
    • Differential diagnosis includes common orbital lesions like gliomas, sarcomas, angiomas, and pseudotumors.

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  • Complete surgical extirpation, potentially involving the optic nerve and ocular globe, is emphasized.

    • Implications:

    • Accurate differential diagnosis is key to appropriate management of orbital tumors.
    • Radical surgical resection is the recommended treatment for intra-orbital meningiomas.
    • En bloc resection may be necessary for complete tumor removal and improved patient outcomes.