眶頂海綿狀血管瘤－病例報告

Cavernous Hemangioma in Orbital Apex-Case Report

趙效明(Hsiao-Ming Chao) ； 白佳欣(Jia-Shin Bair) ； 邱尚明(Thomas S. M. Chiou)

《中華民國眼科醫學會會刊》 30卷2期 (1991/12) Pp. 213-220

https://doi.org/10.30048/ACTASOS.199112.0080

摘要

本文報告一位三十五歲男性病患，主訴左眼視力逐漸惡化及眼皮輕微腫脹已一年多病史；眼底鏡檢及螢光血管攝影顯示有脈絡紋(choroidal folds)，但視神經盤正常，亦無黃斑部水腫；眼壓、突眼計檢及其他眼前部檢查皆無異常發現。
電腦斷層掃描發現一卵圓形球後腫瘤于眶頂併視神經位移；術前所做核磁共振影像(magnetic resonance image)的判讀乃典型之眼眶海綿狀血管瘤；以前側術式(Anterior lateral approach)摘除一大小為1.4×1×1公分之包囊完整(well-encapsulated)腫瘤；病理報告證實為海綿狀血管瘤(cavernous hemangioma)。

並列摘要

A 35-year-old patient suffered from blurred vision and mild eyelids swelling of the left eye for more than 1 year. Fundoscopy and fluorescein angiography showed choroidal striae but no abnormality of disc and no macular edema. Intraocular pressure, exophthalmometry & other examinations of anterior segment are normal generally.
Computerized tomography revealed an oval-shaped retrobulbar mass combined with optic nerve displacement within the orbital apex. Preoperative magnetic resonance image is interpreted as a typical picture of cavernous hemangioma. A well-encapsulated mass, l.4×1×1cm, was removed by anterior lateral approach. Histopathological report diagnosed it as a case of cavernous hemangioma.

並列關鍵字

cavernous hemangioma ； anterior lateral approach ； magnetic resonance image