Yuen Carlen A, Pula John H, Mehta Milap
Department of Neurology, University of Chicago , Chicago, Illinois, USA.
Department of Neurology, NorthShore University HealthSystem , Chicago, Illinois, USA.
Neuroophthalmology. 2017 Jan 11;41(2):94-98. doi: 10.1080/01658107.2016.1263343. eCollection 2017 Apr.
A 75-year-old female with a past medical history significant for prior stroke and atrial fibrillation presented with acute onset of orbital apex syndrome with chemosis and periorbital ecchymosis. Following initial treatment to relieve intraocular pressure, she began spontaneously haemorrhaging retro-orbitally. Preliminary investigation with neuroimaging demonstrated a left orbital mass with extension into the orbital apex. A provisional diagnosis of cavernous haemangioma was made. She was treated with transorbital resection of the orbital mass. Subsequent histopathology revealed a diagnosis of ocular adnexal non-Hodgkin lymphoma of histologic type extranodal marginal zone of mucosa-associated lymphoid tissue (MALT lymphoma). MALT lymphoma should be considered in cases of orbital apex syndrome.
一名75岁女性，既往有中风和心房颤动病史，现因急性发作的眶尖综合征伴结膜水肿和眶周瘀斑就诊。在进行初步治疗以缓解眼压后，她开始出现眶后自发性出血。神经影像学初步检查显示左侧眶内肿块延伸至眶尖。初步诊断为海绵状血管瘤。对其进行了经眶眶内肿块切除术。随后的组织病理学检查确诊为眼附属器非霍奇金淋巴瘤，组织学类型为黏膜相关淋巴组织结外边缘区淋巴瘤（MALT淋巴瘤）。对于眶尖综合征病例，应考虑MALT淋巴瘤。
