Orbital schwannoma extending to the lateral wall of the cavernous sinus through the superior orbital fissure--case report
| Autor: | Yasushi Motoyama, Yasuo Hironaka, Young-Su Park, Toshisuke Sakaki, Hideaki Mishima, Hidehiro Hirabayashi, Hiroyuki Nakase |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty genetic structures medicine.medical_treatment Pain Vision Low Schwannoma Neurosurgical Procedures Diagnosis Differential Postoperative Complications Activities of Daily Living medicine Exophthalmos Humans Cranial Nerve Neoplasms Neoplasm Invasiveness Craniotomy Sinus (anatomy) Hypesthesia business.industry Middle Aged medicine.disease Magnetic Resonance Imaging eye diseases Ophthalmic nerve Surgery medicine.anatomical_structure Treatment Outcome Superior orbital fissure Trigeminal Nerve Diseases Cavernous sinus Sensation Disorders Forehead Orbital Neoplasms Cavernous Sinus Neurology (clinical) business Tomography X-Ray Computed Orbit Neurilemmoma |
| Zdroj: | Neurologia medico-chirurgica. 50(2) |
| ISSN: | 1349-8029 |
| Popis: | A 58-year-old man presented with a rare orbitocavernous sinus schwannoma that originated from the orbital opthalmic nerve, and manifested as slowly progressive hypesthesia of the right side of the forehead, proptosis, and ocular pain with rapidly worsening visual acuity. Magnetic resonance imaging revealed a huge orbital tumor extending to the lateral wall of the cavernous sinus through the superior orbital fissure. Microsurgical total resection of the tumor was achieved using an epidural orbitofrontal approach with orbito-fronto-zygomatic craniotomy. The histological diagnosis was schwannoma with Antoni type A formation. The postoperative course was uneventful except for the hypesthesia on the right side of the forehead and transient oculomotor paralysis. Surgery was effective to relieve the symptoms and improve the activities of daily living. |
| Databáze: | OpenAIRE |
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