Asamoto Shunji, Böker Dieter-Karsten, Lücke Marcus
Department of Neurosurgery, Justus-Liebig University of Giessen, Giessen, Germany.
Neurol Med Chir (Tokyo). 2003 Aug;43(8):383-5. doi: 10.2176/nmc.43.383.
A 46-year-old white man complained of swelling in the left orbital region. The only significant event in his medical history was minor trauma which occurred during ice hockey 15 years previously. On admission, the only clinical finding was left-sided exophthalmos. Computed tomography and magnetic resonance imaging revealed a left intraorbital cystic mass lesion. The cystic mass was completely removed through a left subfrontal extradural approach. There was no anatomical contact with the paranasal sinuses and the orbital walls were intact. The cystic mass was isolated in the orbital cavity. Histological examination confirmed the diagnosis of mucocele. Generally, the cause of mucocele is chronic sinusitis, but we suspect that the old minor trauma was the most likely cause in the present case.
一名46岁的白人男性主诉左侧眼眶区域肿胀。他的病史中唯一重要的事件是15年前在冰球运动中发生的轻微创伤。入院时，唯一的临床发现是左侧眼球突出。计算机断层扫描和磁共振成像显示左侧眶内有一个囊性肿块病变。通过左侧额下入路硬膜外途径将囊性肿块完全切除。与鼻窦无解剖学接触，眶壁完整。囊性肿块孤立于眶腔内。组织学检查确诊为黏液囊肿。一般来说，黏液囊肿的病因是慢性鼻窦炎，但我们怀疑在本病例中，陈旧性轻微创伤是最可能的病因。
