Delayed orbital fibrosing inflammation from a retained crayon
| Autor: | Rita Van Ginderdeuren, Ilse Mombaerts, Philippe Demaerel, Johan Dehem, Victor Demaerel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty genetic structures Inflammation Anterior orbitotomy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Ptosis Orbital fat medicine Orbital Diseases Humans Radiology Nuclear Medicine and imaging Child Sclerosis Entire orbit business.industry Fibrosis eye diseases Surgery medicine.anatomical_structure Histopathology Female sense organs Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business Orbit 030217 neurology & neurosurgery Orbit (anatomy) Sudden onset |
| Zdroj: | Neuroradiology. 63(5) |
| ISSN: | 1432-1920 |
| Popis: | A 39-year-old woman presented with sudden onset of double vision, right upper eyelid swelling and ptosis, and orbital pain. Imaging revealed an irregular mass of the upper right orbit with central non-enhancing areas. Upon inquiry, the patient recalled an intraorbital trauma with a crayon in her childhood, 35 years ago. Via translid anterior orbitotomy, remnants of a blue crayon embedded in an orbital fat mass were removed. Histopathology showed scavenger reaction of macrophages and sclerosis. Energy-dispersive X-ray spectroscopy revealed the presence of silicate particles. Repeated courses of corticosteroids were given. The patient deteriorated with reduced vision and frozen globe owing to severe orbital fibrosis of the entire orbit. |
| Databáze: | OpenAIRE |
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