Idiopathic orbital inflammation with intracranial extension: Case report

Orlando De Jesús, Jaime A. Inserni, Anarda Gonzalez, Lillian E. Colón

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Abstract

Idiopathic orbital inflammation or orbital pseudotumor with intracranial extension is a rare condition. It consists of a nonspecific infiltrate of the fatty tissue of the orbit that extends through one or more foramina into the adjacent intracranial tissue. The lesion mimics an infectious or neoplastic lesion. The authors present a case involving the youngest patient yet reported, with the broadest intracranial extension. Only 17 previous cases have been reported. The principal symptoms include decreased visual acuity and proptosis. Extension commonly develops though the superior orbital fissure into the middle cranial fossa and the cavernous sinus. The initial treatment is a regimen of high-dose steroids, with radiotherapy given in unresponsive cases.

Original languageEnglish (US)
Pages (from-to)510-513
Number of pages4
JournalJournal of neurosurgery
Volume85
Issue number3
DOIs
Publication statusPublished - Sep 1996
Externally publishedYes

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Keywords

  • idiopathic orbital inflammation
  • intracranial extension
  • orbital pseudotumor

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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