Uppal Shikhil, Saggar Vineet, Scalia Gianluca, Umana Giuseppe Emmanuele, Sharma Manisha, Chaurasia Bipin
Department of Neurosurgery Uppal Neuro Hospital Amritsar Punjab India.
Neurosurgery Unit, Department of Head and Neck Sugery Garibaldi Hospital Catania Italy.
Clin Case Rep. 2023 Dec 28;12(1):e8381. doi: 10.1002/ccr3.8381. eCollection 2024 Jan.
Schwannomas are rare tumors in the orbit, typically originating from various nerves and presenting diagnostic challenges. We present a unique case of a unilateral orbital schwannoma arising from the supraorbital nerve. A 55-year-old female presented with a painless, slowly growing mass in the right superior orbit, causing proptosis. Visual acuity remained unimpaired, and clinical examination revealed a well-defined mass in the superior orbit. A provisional diagnosis of an orbital dermoid or cyst was made, leading to excision biopsy. The histopathological examination confirmed a diagnosis of benign schwannoma. Schwannomas in the orbit, particularly those arising from the supraorbital nerve, are uncommon and often challenging to diagnose. Early surgical intervention is crucial to prevent complications associated with tumor growth. This case underscores the need to consider schwannomas as a differential diagnosis for slow-growing orbital masses in adults and emphasizes the importance of timely management to prevent vision-threatening complications.
神经鞘瘤是眼眶内的罕见肿瘤,通常起源于各种神经,给诊断带来挑战。我们报告一例起源于眶上神经的单侧眼眶神经鞘瘤的独特病例。一名55岁女性患者,右上眼眶出现无痛性、生长缓慢的肿块,导致眼球突出。视力未受影响,临床检查发现眼眶上部有一个边界清晰的肿块。初步诊断为眼眶皮样囊肿或囊肿,遂进行切除活检。组织病理学检查确诊为良性神经鞘瘤。眼眶神经鞘瘤,尤其是起源于眶上神经的神经鞘瘤并不常见,诊断往往具有挑战性。早期手术干预对于预防与肿瘤生长相关的并发症至关重要。该病例强调了将神经鞘瘤作为成人眼眶缓慢生长肿块的鉴别诊断的必要性,并强调了及时处理以预防视力威胁性并发症的重要性。