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一例酷似特发性眼眶炎症的眼眶海绵状静脉畸形

A Cavernous Venous Malformation of the Orbit Mimicking an Idiopathic Orbital Inflammation.

作者信息

Chirapapaisan Niphon, Ngamsombat Chanon, Tanboon Jantima, Cheunsuchon Pornsuk, Koohasawad Sugamon

机构信息

Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Asian J Neurosurg. 2020 Aug 28;15(3):750-752. doi: 10.4103/ajns.AJNS_236_20. eCollection 2020 Jul-Sep.

DOI:10.4103/ajns.AJNS_236_20
PMID:33145246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591188/
Abstract

Orbital cavernous venous malformations (CVMs) are usually slow progressing. Multiple CVMs, bilateral orbital CVMs, and acute presentations are rare. We present a rare, bilateral, orbital CVM with acute painful visual loss in the left eye. The initial clinical presentation mimicked an idiopathic orbital inflammation. Orbital magnetic resonance imaging revealed its rare location at the left orbital apex. Finally, pathology confirmed the presence of an intralesional hemorrhage of a CVM.

摘要

眼眶海绵状静脉畸形（CVMs）通常进展缓慢。多发性CVMs、双侧眼眶CVMs以及急性表现较为罕见。我们报告一例罕见的双侧眼眶CVM，伴有左眼急性疼痛性视力丧失。最初的临床表现类似特发性眼眶炎症。眼眶磁共振成像显示其罕见地位于左眼眶尖。最后，病理证实存在CVM内的病灶内出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/41e5e456313d/AJNS-15-750-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/be27277e67c1/AJNS-15-750-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/ba7319245e88/AJNS-15-750-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/b263f817f42c/AJNS-15-750-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/56685c7c4d17/AJNS-15-750-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/41e5e456313d/AJNS-15-750-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/be27277e67c1/AJNS-15-750-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/ba7319245e88/AJNS-15-750-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/b263f817f42c/AJNS-15-750-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/56685c7c4d17/AJNS-15-750-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ea1/7591188/41e5e456313d/AJNS-15-750-g005.jpg

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本文引用的文献

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Vascular Anomalies of the Orbit--A Reappraisal.眼眶血管畸形——再评价。
Asia Pac J Ophthalmol (Phila). 2018 Sep-Oct;7(5):356-363. doi: 10.22608/APO.2017151. Epub 2018 Apr 10.
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Int Med Case Rep J. 2017 Jul 24;10:255-259. doi: 10.2147/IMCRJ.S133284. eCollection 2017.
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