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肌内眼眶神经鞘瘤:病例报告及文献复习

Intramuscular orbital schwannoma: case report and review of the literature.

作者信息

Alotaibi Hammam A, Madani Firas, Althaqib Rawan N, AlSulaiman Hamad M

机构信息

Oculoplastics & Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Department of Ophthalmology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

出版信息

Front Ophthalmol (Lausanne). 2025 May 23;5:1586465. doi: 10.3389/fopht.2025.1586465. eCollection 2025.

Abstract

Orbital schwannomas are benign tumors that arise from Schwann cells in the peripheral nerves in the orbit. They typically present after the second decade of life given their slow growth and rarely before then. Diagnosis is based on clinical course and specific imaging modalities; however, the definitive diagnosis is by lesion biopsy. Surgical removal is typically curative. Herein we present the case of an 8-year-old boy with proptosis and diplopia where he exhibited the clinical findings of an orbital mass, however, the characteristic picture of orbital schwannoma was observed on imaging yet found within the inferior rectus muscle, a rare finding indeed.

摘要

眼眶神经鞘瘤是起源于眼眶周围神经施万细胞的良性肿瘤。由于其生长缓慢,通常在生命的第二个十年之后出现,很少在此之前出现。诊断基于临床病程和特定的影像学检查;然而,确诊需通过病变活检。手术切除通常可治愈。在此,我们报告一例8岁男孩,有眼球突出和复视症状,表现出眼眶肿物的临床特征,然而,影像学检查发现特征性的眼眶神经鞘瘤位于下直肌内,这确实是一个罕见的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f02/12140979/969b6b14e022/fopht-05-1586465-g001.jpg

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