Inaka Yasufumi, Otani Naoki, Nishida Sho, Kumagai Kohsuke, Fujii Kazuya, Ueno Hideaki, Tomiyama Arata, Tomura Satoshi, Osada Hideo, Wada Kojiro, Mori Kentaro
Department of Neurosurgery, National Defense Medical College.
No Shinkei Geka. 2014 Nov;42(11):1051-6. doi: 10.11477/mf.1436200032.
A primary intraosseous cavernous hemangioma located at the sphenoid bone with extensive involvement of the orbital roof and the lateral wall of the orbit is very rare. A 48-year-old woman presented with progressive right exophthalmos and diplopia. CT showed a bony mass lesion in the right sphenoid bone extending to the orbital bone. MRI showed an abnormal lesion in the sphenoid bone, which was heterogeneously enhanced with gadolinium. All of the abnormal bone was surgically removed, and histological examination confirmed a cavernous angioma. We also present a brief clinical and radiological review of seven previously reported cases.
位于蝶骨的原发性骨内海绵状血管瘤，广泛累及眶顶和眶外侧壁，极为罕见。一名48岁女性出现进行性右眼突出和复视。CT显示右侧蝶骨有一骨质肿块病变，延伸至眶骨。MRI显示蝶骨有一异常病变，钆增强后呈不均匀强化。所有异常骨质均通过手术切除，组织学检查证实为海绵状血管瘤。我们还对之前报道的7例病例进行了简要的临床和影像学回顾。
