Singh Anupam, Panyala Rakesh, Irfan Khan Shama A, Samanta Ramanuj, Kumar Barun
Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cardiology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2021 Aug 27;13(8):e17508. doi: 10.7759/cureus.17508. eCollection 2021 Aug.
A 38-year-old woman presented with sudden-onset painful lid swelling, proptosis and external ophthalmoplegia on the right side for 20 days, associated with loss of vision for nine days. On contrast-enhanced computed tomography (CECT), a retrobulbar mass was noted involving intraconal and extraconal spaces, extending up to the orbital foramina with enhancement and thickening of meninges. CT arteriography further revealed multiple feeding vessels from the maxillary artery. Embolization of feeding vessels followed by right orbital exenteration with primary reconstruction using forehead flap was done. This is an unusual case of orbital cavernous hemangioma (OCH) which emphasizes the importance of CT arteriography in specific cases of OCH, where routine neuroimaging may be inconclusive.
一名38岁女性，右侧眼睑突发疼痛性肿胀、眼球突出及眼球外肌麻痹20天，伴有视力丧失9天。在增强计算机断层扫描（CECT）上，发现球后肿块累及肌锥内和肌锥外间隙，向上延伸至眶孔，伴有脑膜强化和增厚。CT血管造影进一步显示有来自上颌动脉的多条供血血管。先进行了供血血管栓塞，然后行右侧眼眶内容剜除术，并使用额部皮瓣进行一期重建。这是一例不寻常的眼眶海绵状血管瘤（OCH）病例，强调了CT血管造影在OCH特定病例中的重要性，在这些病例中常规神经影像学检查可能无法得出明确结论。
