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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

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Orbital spindle cell hemangioma with acute presentation.

Aishwarya Anand¹, Sridhar Shanmugam², Anand Veluswamy¹

¹Department of Otorhinolaryngology, MCV Memorial ENT Trust Hospital, Coimbatore, Tamil Nadu, India.

Indian Journal of Pathology & Microbiology

|February 23, 2024

Summary

An unusual orbital spindle cell hemangioma presented acutely with eyelid edema, ecchymosis, and vision loss. Prompt surgical removal restored the patient's vision, highlighting the need for careful evaluation of such rare orbital tumors.

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Area of Science:

Ophthalmology
Pathology
Surgical Oncology

Background:

Orbital hemangiomas are benign vascular tumors, typically presenting with gradual onset of symptoms.
Acute presentations of orbital hemangiomas are uncommon, often mimicking other orbital pathologies.

Observation:

A 40-year-old male presented with sudden left eye redness, swelling, periorbital ecchymosis, and subconjunctival hemorrhage.
Initial topical treatment provided temporary relief, but was followed by progressive blurred vision and axial proptosis.

Findings:

Radiological imaging identified an intraconal soft tissue mass involving the left medial rectus muscle.
Histopathological examination of the surgically excised mass confirmed it to be a spindle cell hemangioma.

Implications:

This case highlights an atypical, acute presentation of orbital spindle cell hemangioma.
Prompt surgical intervention (orbital decompression and mass excision) led to complete visual recovery.
Clinicians should consider rare orbital tumors in the differential diagnosis of acute-onset visual disturbances and proptosis.