Department of Oculoplasty and Ocular Oncology, Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Department of Pathology, HAMS Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Jan 31;59(233):74-76. doi: 10.31729/jnma.5606.
A 32-year-old male presented with painless proptosis and diminution of vision in left eye. Imaging shows multiple well-defined masses, suggestive of cavernous haemangioma, in orbit and cranium with adjoining bones being thickened with cystic spaces. Histopathology proved the diagnosis. Cavernous haemangioma usually presents as a solitary intraconal and sometimes extraconal mass with vision usually preserved unless it extends to the apical portion. Here we report a rare case of multiple simultaneous locations of cavernous haemangiomas in orbit and cranium with significant diminution of vision.
一位 32 岁男性因左眼无痛性眼球突出和视力下降就诊。影像学显示眼眶和颅腔有多发性边界清楚的肿块，提示为海绵状血管瘤，相邻骨增厚并有囊性腔隙。组织病理学证实了诊断。海绵状血管瘤通常表现为单一的眶内或有时眶外肿块，视力通常得以保留，除非它延伸到眶尖部。这里我们报告一例罕见的眼眶和颅腔同时发生多个海绵状血管瘤病例，并伴有明显的视力下降。
