Clinical case of orbital cavernoma removing through transcranial fronto-orbital approach
DOI:
https://doi.org/10.25305/unj.51536Keywords:
orbital tumor, cavernoma, surgical treatmentAbstract
Relatively rare case of orbital cavernous angioma is described. Disease duration in a female patient aged 37 years was approximately 4 years. Clinical signs: headache, mild exotropia leftward, sometimes diplopia. Also we revealed left proptosis, left eye vision field narrowing, left hyperopia, visual acuity of the right eye 0.9, of the left eye — 0.3. We decided to remove the paraplasm using transcranial frontoorbital trepanation. At long-consuming operation paraplasm was totally removed, we managed to keep optic nerve and neuromuscular apparatus of the orbit. After surgery we noted visual acuity increase from 0.3 to 0.9 on the affected side, proptosis decrease, diplopia cessation, headache regression.
References
1. Sakovich VP, Shugol’ OM, Zhuravliov AV. Nash opyt khirurgicheskogo lecheniya orbital'nykh i kranioorbital'nykh ob"yemnykh protsessov [Our experience of surgical treatment of orbital and cranioorbital volume processes]. Sovremennye aspekty nejroophtalmologii. Moscow ; 1999. p.54-56. Russian.
2. Zozulya YuA, Trosh RM. Kranioorbital'nyye opukholi [Cranioorbital tumors]. Kiev: Zdorovia; 1998. Russian.
3. Henderson JW. Orbital tumors. New York: Raven Press Ltd., 1994. 3rd ed.
4. Iraci G, Gerosa M, Tomazzoli L, Pardatscher K, Fiore DL, Javicoli R, Secchi AG. Gliomas of the optic nerve and chiasm. A clinical review. Childs Brain. 1981;8(5):326-49. [PubMed] [CrossRef]
5. Schick U, Hassler W. Pediatric tumors of the orbit and optic pathway. Pediatr Neurosurg. 2003 Mar;38(3):113-21. [PubMed] [CrossRef]
6. Gabibov GA, Blinkov SM, Rostotskaya VI, Cherekaev VA. Khirurgiya opukholey zritel'nogo nerva [Surgery of optic nerve tumors]. Tashkent: Meditsina; 1990. Russian.
7. Zakondyrin DE. Khirurgicheskoye lecheniye novoobrazovaniy kranioorbital'noy oblasti i glaznitsy [Surgical treatment of tumors of cranioorbital area and orbit] [dissertation]. Sankt-Peterburg (Russia): Polenov Neurosurgery Institute; 2010. Russian.
8. Borkar SA, Kasliwal MK, Sinha S, Sharma BS. MR imaging in aneurysmal bone cyst of the orbit. Turk Neurosurg. 2008;18(2):183-6. [PubMed]
9. Hejazi N. Intraorbital lymphomas: neurosurgical experiences and management strategies. Neurosurg Rev. 2006;29(2):123-9. [PubMed] [CrossRef]
10. Marcol W, Mandera M, Malinowska I, Pajak J, Właszczuk P, Kluczewska E. Aneurysmal bone cyst of the orbit. Pediatr Neurosurg. 2006;42(5):325-7. [PubMed] [CrossRef]
11. Yilmaz N, Kiymaz N, Etlik O, Mumcu C, Bayram I. Recurrent pleomorphic adenoma of orbit: Case report. Turk. Neurosurg. 2005;15(3):140-143.
12. Okay O, Daglioglu E, Akdemir G, Dalgic A, Uckun O, Atasoy S, Belen D. Lateral orbitotomy approach to orbital tumors: report of 10 cases. Turk Neurosurg. 2010;20(2):167-72. [PubMed] [CrossRef]
13. Cherekaev VA, Serova NK, Belov AI, Kudriavtseva PA, Bocharov AA. [Cavernous hemangioma of the optical canal and superior palpebral fissure]. Zh Vopr Neirokhir Im NN Burdenko. 2006;3:41-2. Russian. [PubMed]
14. Rootman J. Diseases of the orbit. A multidisciplinary approach. Philadelphia: J.B. Lippincott Co., 1999. 2nd ed. p.112-24.
15. Zhagrin AG. Khirurgicheskiy dostup dlya udaleniya kranioorbital'nykh opukholey [Surgical approach to cranioorbital tumors removing] [dissertation]. Moscow ; 1954. Russian.
16. Moreiras JVP, Prada MC, Coloma J, Beverra EP. Orbit: Examination, diagnosis, microsurgery and pathology. In: Panama, Highlights of ophthalmology international; 2004. 1st ed. p.296-309.
17. Oiushin VE, Riabukha NP, Zakondyrin DE. Khirurgicheskoye lecheniye sosudistykh novoobrazovaniy kranioorbital'noy oblasti i glaznitsy [Surgical treatment of vascular tumors of cranioorbital area and orbit]. Ros Neurokhir Zhurn Im AL Polenova. 2010:2(2):36-40.
18. Maroon JC, Alba AA. Tumors of the orbit . In; Youmans JR., editor. Neurological Surgery. Philadelphia: W.B. Saunders, 1996. V.IV, Pt.X, Chpt.131. P.1202-23.
19. Schick U, Dott U, Hassler W. Surgical treatment of orbital cavernomas. Surg Neurol. 2003;60(3):234-44. [PubMed]
20. Cushing H, Eisenhardt L. Meningiomas: their classification, regional behavior, life history, and surgical end results. — Springfield: Charles C. Thomas publ., Ltd., 1938.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Daniyar Mirsadykov, Bakhtiyar Kasymov, Malika Abdumajitova
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.