Faucett D C, Dutton J J, Bullard D E
Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina.
Ophthalmic Plast Reconstr Surg. 1989;5(4):235-8. doi: 10.1097/00002341-198912000-00002.
A patient with painless proptosis and no associated neurologic symptoms was found to have a cystic retrobulbar orbital mass. The initial computed tomography (CT) scan did not demonstrate any intracranial involvement. On orbital biopsy a schwannoma was encountered and repeat CT scan with contrast revealed a large middle cranial fossa mass with extension into the orbit through the optic canal and superior orbital fissure. On lateral transfrontal craniotomy the lesion was noted to arise from the gasserian ganglion and to involve the right cavernous sinus. Subtotal resection was performed, and the patient has remained asymptomatic and free of recurrence for 18 months.
一名无痛性眼球突出且无相关神经症状的患者被发现有一个球后眼眶囊性肿块。最初的计算机断层扫描（CT）未显示任何颅内受累情况。眼眶活检发现是神经鞘瘤，增强CT扫描显示一个巨大的中颅窝肿块，通过视神经管和眶上裂延伸至眼眶。经外侧经额开颅手术发现病变起源于三叉神经节并累及右侧海绵窦。进行了次全切除，患者术后18个月一直无症状且无复发。
