A Pathophysiological Approach to Spontaneous Orbital Meningoceles: Case Report and Systematic Review.

Autor:	Gaudioso P; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Oncology and Immunology (PhD Program), Department of Surgery Oncology and Gastroenterology (DiSCOG), University of Padova, 35128 Padova, Italy., Biancoli E; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Battistuzzi V; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Concheri S; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Saccardo T; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Franchella S; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Contro G; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Technology for Health (PhD Program), Department of Information Engineering, University of Brescia, 25123 Brescia, Italy., Taboni S; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Artificial Intelligence in Medicine and Innovation in Clinical Research and Methodology (PhD Program), Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy., Zanoletti E; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Causin F; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy., Nico L; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy., Gabrieli JD; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Section of Neuroradiology, Department of Diagnostic Imaging and Interventional Radiology, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy., Maroldi R; Division of Radiology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25123 Brescia, Italy., Nicolai P; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy., Ferrari M; Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, 'Azienda Ospedale Università di Padova', University of Padua, 35128 Padua, Italy.; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedale Università Padova, 35128 Padua, Italy.; Guided Therapeutics (GTx) Program International Scholarship, University Health Network (UHN), Toronto, ON M5G 2C4, Canada.
Jazyk:	angličtina
Zdroj:	Journal of personalized medicine [J Pers Med] 2024 Apr 28; Vol. 14 (5). Date of Electronic Publication: 2024 Apr 28.
DOI:	10.3390/jpm14050465
Abstrakt:	Background: Spontaneous orbital cephaloceles are a rare condition. The purpose of this study is to provide a description of a clinical case and to carry out a systematic literature review. Methods: A systematic review of the English literature published on the Pubmed, Scopus, and Web of Science databases was conducted, according to the PRISMA recommendations. Results: A 6-year-old patient was admitted for right otomastoiditis and thrombosis of the sigmoid and transverse sinuses, as well as the proximal portion of the internal jugular vein. Radiological examinations revealed a left orbital mass (22 × 14 mm) compatible with asymptomatic orbital meningocele (MC) herniated from the superior orbital fissure (SOF). The child underwent a right mastoidectomy. After the development of symptoms and signs of intracranial hypertension (ICH), endovascular thrombectomy and transverse sinus stenting were performed, with improvement of the clinical conditions and reduction of the orbital MC. The systematic literature review encompassed 29 publications on 43 patients with spontaneous orbital MC. In the majority of cases, surgery was the preferred treatment. Conclusions: The present case report and systematic review highlight the importance of ICH investigation and a pathophysiological-oriented treatment approach. The experiences described in the literature are limited, making the collection of additional data paramount.
Databáze:	MEDLINE
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