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Zhang Y, Deng Q, Sun B, Chen L, Huang X, Pan J, Huang X, Zhang J, Chen W. Differentiation of Malignant and Benign Orbital Space-Occupying Lesions Using Contrast-Enhanced Ultrasound: Added Value From a Time-Intensity Curve-Based Quantitative Analysis. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2021; 40:2477-2486. [PMID: 33470432 DOI: 10.1002/jum.15636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 12/23/2020] [Accepted: 01/06/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVES To evaluate the value of time-intensity curve (TIC) analysis of contrast-enhanced ultrasound (CEUS) signal to differentiate malignant from benign orbital space-occupying lesions. METHODS The CEUS signal of 111 patients with orbital space-occupying lesions was retrospectively analyzed using SonoLiver software. TIC-related parameters such as the arrival time (AT), rise time (RT), time to peak (TTP), maximum intensity (IMAX), mean transit time (mTT), slope of the increase (RS), and slope of the decrease (DS) were compared between the malignant and benign groups. Receiver operating characteristic (ROC) curve analysis was used to acquire the cutoff values of these parameters for differential diagnosis. RESULTS TIC patterns were characterized by fast increase and fast decrease in signal intensity in the malignant group, fast increase and a slow decrease in signal intensity in the benign group. The differences in the IMAX, RS, DS, mTT, TTP, and RT between the 2 groups were statistically significant (p <.01), while the difference in the AT were not (p = .672). ROC curve analysis showed that IMAX = 427.20, DS = 34.72, and mTT = 33.55 were the best cutoff values for differential diagnosis of malignant and benign space-occupying lesions. The accuracy rate of CEUS visual evaluation for differential diagnosis was 66.67% (74/111), while TIC quantitative analysis could effectively improve the accuracy to 89.19% (99/111). CONCLUSIONS TIC analysis can improve CEUS efficiency to differentiate malignant from benign orbital space-occupying lesions.
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Affiliation(s)
- Yao Zhang
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Qing Deng
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Bin Sun
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Liao Chen
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Xin Huang
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Juhong Pan
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Xingyue Huang
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Jun Zhang
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
| | - Wenwei Chen
- Department of Ultrasuond, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
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[Idiopathic orbital inflammatory syndrome: Report of 24 cases]. J Fr Ophtalmol 2018; 41:333-342. [PMID: 29685738 DOI: 10.1016/j.jfo.2017.09.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 08/30/2017] [Accepted: 09/25/2017] [Indexed: 11/24/2022]
Abstract
BACKGROUND Idiopathic orbital inflammatory syndrome (IOIS) is an inflammatory condition of unknown etiology. The inflammation may affect all the structures within the orbit (anterior, diffuse, apical, myositic, dacryoadenitis) and corresponds to uniquely orbital inflammation without an identifiable local cause or systemic disease. The goal of this study is to describe the clinical and radiographic characteristics of IOIS and discuss the role of orbital biopsy in this condition. PATIENTS AND METHODS This is a retrospective review of the charts of 24 patients diagnosed with IOIS at Fattouma Bourguiba hospital, Monastir, Tunisia, from January 2007 to December 2015. This study included all patients with IOIS and a minimum follow-up of six months. All patients had a complete ophthalmological examination and orbital and head CT scan and/or MRI. A work-up was performed in all cases to rule out local causes and systemic disease. Only 11 patients underwent biopsy. The diagnosis of the clinical entity IOIS was made according to the Rootman criteria. Oral steroids were the first line therapy. A bolus of intravenous methylprednisolone was administered first in vision-threatening cases. Response to treatment was defined as disappearance of signs and symptoms of IOIS. RESULTS Orbital pain was the most common symptom (62.5%), followed by proptosis and decreased vision (37.5% each). Best-corrected visual acuity (BCVA) was greater than 5/10 in 70.7% of patients. Lacrimal gland enlargement was observed in 3 patients. Oculomotor disorders were present in 70% of cases and 20.8% of patients had compressive optic neuropathy. Orbital imaging showed, in most cases, oculomotor muscle inflammation (87.5%) involving particularly the superior rectus muscle (54.2%) and inflammation of orbital fat (66.7%). Fifty percent had myositic inflammation. Biopsy was performed in 11 patients, showing nonspecific inflammation (n=10) and the sclerosing form (n=1). A total of 83.3% of patients received oral corticosteroids for a mean duration of 5.5 months. CONCLUSION IOIS is a diagnosis of exclusion, based on history, clinical course, response to steroid therapy, laboratory tests, or even biopsy in selected cases. Orbital imaging provides valuable clues for diagnosis of IOIS and for identification of affected structures. Prolonged steroid therapy is necessary as IOIS classically responds to steroids; nevertheless, partial recovery or relapses often occur.
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Abad S, Héran F, Terrada C, Bielefeld P, Sène D, Trad S, Saadoun D, Sève P. [Management of orbital inflammation in internal medicine. Proposal for a diagnostic work-up]. Rev Med Interne 2018; 39:746-754. [PMID: 29398045 DOI: 10.1016/j.revmed.2017.12.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Accepted: 12/28/2017] [Indexed: 12/17/2022]
Abstract
Inflammatory orbitopathies relate to an inflammatory state originating within the orbit and its adnexes, except the inner ocular globe. Orbital inflammation (OI) may be either localized manifestation of a proven or like autoimmune disease, or local response from immune system against infectious, structural or tumoral antigens. We review the clinical manifestations of OI, which provide helpful clues to the diagnosis and describe the inflammatory, infectious and neoplastic conditions classically associated with OI. Autoimmune diseases are probably the most common causes of OI associated with a bilateral dacryoadenitis (e.g., sarcoidosis, granulomatosis with polyangiitis, IgG4-related disease). We focused on a major part of the IgG4-RD spectrum, the IgG4-related orbital disease which has been recently described and the idiopathic orbital inflammation syndrome that one should consider in patients 40 years of age or older with non specific inflammation OI on biopsy but without underlying local or systemic disease. An algorithm for the diagnostic approach of OI was proposed. If systemic explorations fail to diagnose an underlying disease, histopathologic control is required for distinguishing non-specific OI from other differential diagnosis, especially lymphoma. In the cases of pure myositic locations and posteriorly located tumours where biopsy could damage to the optic nerve, analysis of orbital lesions in T2W IRM sequence may be helpful to distinguish idiopathic OI (IOI) from lymphoma. When the diagnostic work-up fails, a corticosteroid trial could be used, but its beneficial effect has to be cautiously interpretated before definitively diagnosing IOI. Finally, treatments used in main infllammatory orbitopathies were also reviewed.
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Affiliation(s)
- S Abad
- UMR1125, LI2P, service de médecine interne, hôpital Avicenne, faculté de médecine SMBH, université Paris 13, Sorbonne Paris Cité, Assistance publique-hôpitaux de Paris (AP-HP), 125, route de Stalingrad, 93000 Bobigny cedex 09, France.
| | - F Héran
- Service d'imagerie, Fondation Adolphe-de-Rothschild, 25, rue Manin, 75019 Paris, France.
| | - C Terrada
- Service d'ophtalmologie, hôpital Pitié-Salpêtrière, groupe hospitalier (GH) Pitié-Salpêtrière, université Paris 6, AP-HP, 47-83, boulevard de l'hôpital, 75013 Paris, France; Centre Roule-Péretti, 169, avenue Achille-Péretti, 92200 Neuilly-sur-Seine, France.
| | - P Bielefeld
- Service de médecine interne et maladies systémiques, médecine interne 2, hôpital du Bocage, 2, boulevard Maréchal-de-Lattre-de-Tassigny, BP 77908, 21079 Dijon cedex, France.
| | - D Sène
- Service de médecine interne B, hôpital Lariboisière, groupe hospitalier Saint-Louis-Lariboisière-Fernand-Widal, université Sorbonne Paris Cité- Paris Diderot, AP-HP, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.
| | - S Trad
- Service de médecine interne, hôpital Ambroise-Paré, AP-HP, 9, avenue du Général-de-Gaulle, 92100 Boulogne-Billancourt, France; Université de Versailles-Saint-Quentin-en-Yvelines (UVSQ), 55, avenue de Paris, 78000 Versailles, France.
| | - D Saadoun
- Department of internal medicine and clinical immunology, groupe hospitalier Pitié-Salpêtrière, université Pierre-et-Marie Curie, AP-HP, Paris 6, 75013 Paris, France; DHU I2B, inflammation, immunopathology, biotherapy, UPMC, Paris 6, 75013 Paris, France; Centre national de référence des maladies auto-immunes et systémiques rares, 75013 Paris, France.
| | - P Sève
- Service de médecine interne, hôpital de la Croix-Rousse, hospices Civils de Lyon, université de Lyon, 103, grande rue de la Croix-Rousse, 69317 Lyon cedex 04, France.
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[Orbito-palpebral vascular pathology]. J Fr Ophtalmol 2016; 39:804-813. [PMID: 27769582 DOI: 10.1016/j.jfo.2016.07.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 05/25/2016] [Accepted: 07/24/2016] [Indexed: 11/23/2022]
Abstract
Orbito-palpebral vascular pathology represents 10% of all the diseases of this area. The lesion may be discovered during a brain CT scan or MRI, or because it causes clinical symptoms such as orbital mass, visual or oculomotor alteration, pain, proptosis, or acute bleeding due to a complication of the lesion (hemorrhage, thrombosis). We present these lesions using an anatomical, clinical, imaging and therapeutic approach. We distinguish four different entities. Vascular tumors have common imaging characteristics (hypersignal on T2 sequence, contrast enhancement, abnormal vascularization well depicted with ultrasound and Doppler, and possible bleeding). The main lesions are cavernous hemangiomas, the most frequent lesion of that type during adulthood; infantile hemangiomas, the most frequent vascular tumor in children; and more seldomly, hemangioperitcytomas. True vascular malformations are divided according to their flow. Low flow lesions are venous (orbital varix), capillarovenous or lymphatic (lymphangioma). High flow malformations, more rare, are either arteriovenous or arterial malformations (aneurisms). Complex malformations include both low and high flow elements. Lesions leading to modifications of the orbito-palpebral blood flow are mainly due to cavernous sinus abnormalities, either direct carotid-cavernous fistula affecting young adults after severe head trauma, or dural fistula, more insidious, found in older adults. The last section is devoted to congenital syndromic vascular malformations (Sturge-Weber, Rendu-Olser…). This classification allows for a better understanding of these pathologies and their specific imaging features.
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Echchaoui A, Benyachou M, Houssa A, Kajout M, Oufkir AA, Hajji C, Daoudi R, Hafidi J, El Mazouz S, Gharib N, Abbassi A. [Management of eyelid carcinomas: Retrospective bicentric study of 64 cases and review of the literature]. J Fr Ophtalmol 2016; 39:187-94. [PMID: 26826743 DOI: 10.1016/j.jfo.2015.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Revised: 04/21/2015] [Accepted: 05/13/2015] [Indexed: 10/22/2022]
Abstract
PURPOSE To study the epidemiologic, clinical and histological aspects of eyelid carcinomas in our context, and to evaluate our surgical management on an oncological, functional and aesthetic level. PATIENTS AND METHODS This work is a retrospective bicentric study extended over a 5-year period between January 2009 and December 2013, including 64 patients with eyelid carcinoma undergoing surgery in the Plastic and Reconstructive Surgery Department at the Avicenne University Hospital of Rabat and in the ENT/Head and Neck Surgery Department at the Hassan II University Hospital of Fez. RESULTS The study included 25 men and 39 women with a mean age of 60.6 ± 15.33 years. Advanced age and chronic sun exposure were the most important risk factors. The most commonly involved site was the lower eyelid (53%). Histological examination emphasized the very high prevalence of basal cell carcinoma (90.62%). Surgical treatment was performed in all our patients followed by an extemporaneous and/or standard histological examination of the surgical specimen. Exenteration was performed in one patient with adjuvant radiation therapy. Reconstruction incorporated a variety of techniques, of which total skin graft and Mustardé flap were the most common in our series. Aside from a few complications, the postoperative results were satisfactory for the majority of our patients. CONCLUSION Malignant tumors of the eyelids, of which basal cell carcinoma is the most common, pose a therapeutic problem where surgery remains the most utilized treatment option. The best treatment is prevention and diagnosis of early lesions to improve prognosis and to avoid worse outcomes.
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Affiliation(s)
- A Echchaoui
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc.
| | - M Benyachou
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - A Houssa
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier Hassan II, BP 1835, Fès, Maroc
| | - M Kajout
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier Hassan II, BP 1835, Fès, Maroc
| | - A A Oufkir
- Service d'ORL et de chirurgie cervico-faciale, centre hospitalier Hassan II, BP 1835, Fès, Maroc
| | - C Hajji
- Service d'ophtalmologie A, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - R Daoudi
- Service d'ophtalmologie A, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - J Hafidi
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - S El Mazouz
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - N Gharib
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
| | - A Abbassi
- Service de chirurgie réparatrice et plastique, centre hospitalier Avicenne, Rabat institut, rue Lamfadel-Cherkaoui, BP 6527, Souissi, Maroc
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Salami A, Assouan C, Kouyaté M, Kadre A, Yavo-Dosso N, N'Guessan ND. [Sinonasal mucormycosis revealed by a necrotic velar ulceration]. J Mycol Med 2015; 25:204-7. [PMID: 26142709 DOI: 10.1016/j.mycmed.2015.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 06/01/2015] [Accepted: 06/01/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Mucormycosis is a deep mycosis which has been spreading out in recent years. It is still poorly understood and poorly described in sub-Saharan Africa. The authors report a case of sinonasal localization, of fatal evolution and late diagnosis in a young child. OBSERVATION It is about a 13-year-old child suffering from chronic rhinosinus syndrome for two years. He was observed in stomatology for a necrotic velar ulceration that have occurred for three months. The clinical, radiological and histological explorations were in favor of a sinonasal mucormycosis. The administration of amphotericin B and the surgical treatment did not slow down the fatal evolution. CONCLUSION Mucormycosis should not be dealt with any diagnostic error and no therapeutic improvisation. It has to be thought about when dealing with a rhinosinusal syndrome with cleft ulceration.
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Affiliation(s)
- A Salami
- Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire.
| | - C Assouan
- Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire
| | - M Kouyaté
- Service d'anatomie et cytologie pathologiques, CHU de Treichville, Abidjan, Côte d'Ivoire
| | - A Kadre
- Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire
| | - N Yavo-Dosso
- Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire
| | - N D N'Guessan
- Service de stomatologie et chirurgie maxillo-faciale, CHU de Treichville, Abidjan, Côte d'Ivoire
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Mouriaux F, Coffin-Pichonnet S, Robert PY, Abad S, Martin-Silva N. [Orbital inflammation]. J Fr Ophtalmol 2014; 37:818-24. [PMID: 25455557 DOI: 10.1016/j.jfo.2014.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2014] [Accepted: 09/01/2014] [Indexed: 10/24/2022]
Abstract
Orbital inflammation is a generic term encompassing inflammatory pathologies affecting all structures within the orbit : anterior (involvement up to the posterior aspect of the globe), diffuse (involvement of intra- and/or extraconal fat), apical (involvement of the posterior orbit), myositis (involvement of only the extraocular muscles), dacryoadenitis (involvement of the lacrimal gland). We distinguish between specific inflammation and non-specific inflammation, commonly referred to as idiopathic inflammation. Specific orbital inflammation corresponds to a secondary localization of a "generalized" disease (systemic or auto-immune). Idiopathic orbital inflammation corresponds to uniquely orbital inflammation without generalized disease, and thus an unknown etiology. At the top of the differential diagnosis for specific or idiopathic orbital inflammation are malignant tumors, represented most commonly in the adult by lympho-proliferative syndromes and metastases. Treatment of specific orbital inflammation begins with treatment of the underlying disease. For idiopathic orbital inflammation, treatment (most often corticosteroids) is indicated above all in cases of visual loss due to optic neuropathy, in the presence of pain or oculomotor palsy.
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Affiliation(s)
- F Mouriaux
- Service d'ophtalmologie, CHU Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
| | - S Coffin-Pichonnet
- Service d'ophtalmologie, CHU Caen, avenue de la Côte-de-Nacre, Caen, France
| | - P-Y Robert
- Service d'ophtalmologie, CHU Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France
| | - S Abad
- Service de médecine interne, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny cedex, France
| | - N Martin-Silva
- Service de médecine interne, CHU Caen, avenue de la Côte-de-Nacre, Caen, France
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Zaghouani Ben Alaya H, Limem M, Karmani W, Ben Zina N, Majdoub S, Amara H, Bakir D, Kraiem C. Exophtalmie chez un enfant révélatrice d’un kyste hydatique intraorbitaire isolé. J Fr Ophtalmol 2014; 37:e147-8. [DOI: 10.1016/j.jfo.2013.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Revised: 09/12/2013] [Accepted: 10/21/2013] [Indexed: 10/24/2022]
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9
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Héran F, Bergès O, Blustajn J, Boucenna M, Charbonneau F, Koskas P, Lafitte F, Nau E, Roux P, Sadik JC, Savatovsky J, Williams M. Tumor pathology of the orbit. Diagn Interv Imaging 2014; 95:933-44. [PMID: 25195185 DOI: 10.1016/j.diii.2014.08.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The term orbital tumor covers a wide range of benign and malignant diseases affecting specific component of the orbit or developing in contact with them. They are found incidentally or may be investigated as part of the assessment of a systemic disorder or because of orbital signs (exophthalmos, pain, etc.). Computed tomography, MRI and Color Doppler Ultrasound (CDU), play a varying role depending on the clinical presentation and the disease being investigated. This article reflects long experience in a reference center but does not claim to be exhaustive. We have chosen to consider these tumors from the perspective of their usual presentation, emphasizing the most common causes and suggestive radiological and clinical presentations (progressive or sudden-onset exophthalmos, children or adults, lacrimal gland lesions, periorbital lesions and enophthalmos). We will describe in particular muscle involvement (thyrotoxicosis and tumors), vascular lesions (cavernous sinus hemangioma, orbital varix, cystic lymphangioma), childhood lesions and orbital hematomas. We offer straightforward useful protocols for simple investigation and differential diagnosis. Readers who wish to go further to extend their knowledge in this fascinating area can refer to the references in the bibliography.
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Affiliation(s)
- F Héran
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France.
| | - O Bergès
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - J Blustajn
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - M Boucenna
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - F Charbonneau
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - P Koskas
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - F Lafitte
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - E Nau
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - P Roux
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - J C Sadik
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - J Savatovsky
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
| | - M Williams
- A. de Rothschild Foundation, Imaging Department, 25, rue Manin, 75019 Paris, France
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Zaghouani Ben Alaya H, Gaha M, Limem Y, Karmani W, Mziou Z, Amara H, Bakir D, Kraiem CH. [Intraorbital dermoid cyst. Case report and review of the literature]. J Fr Ophtalmol 2012; 36:172-7. [PMID: 23261209 DOI: 10.1016/j.jfo.2012.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2012] [Revised: 10/08/2012] [Accepted: 10/10/2012] [Indexed: 10/27/2022]
Abstract
Periorbital dermoid cysts are benign tumors most often seen in young children. Intraorbital location, though rare, should not be overlooked. Good quality imaging plays a major role in the etiological diagnosis, providing a precise analysis of the location of the lesion, its components, and its effects on adjacent and nearby structures, as well as in planning the surgical approach. The authors report a case of a 46-year-old male with an intraorbital dermoid cyst presenting with progressive left proptosis. Appearance on imaging (CT and MRI) was consistent with intraorbital dermoid cyst. The tumor was extirpated. Histopathologic examination confirmed the diagnosis of dermoid cyst. We also present a review of the literature.
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Louati H, Hedhli M, Chebbi A, Ben Hassine L, Douira W, Lahmar L, Ayed S, Bellagha I. [Spontaneous orbital hematoma: two case reports]. J Fr Ophtalmol 2012; 35:533.e1-4. [PMID: 22795759 DOI: 10.1016/j.jfo.2011.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2011] [Revised: 11/23/2011] [Accepted: 12/05/2011] [Indexed: 11/18/2022]
Abstract
Although rare, spontaneous intra-orbital hematoma can quickly jeopardize vision. It usually presents with painful proptosis. It can result from multiple etiologies, and the diagnosis is based on imaging studies in the absence of known causes. We describe two cases of spontaneous intraorbital hematoma. The first, of unknown etiology, required needle drainage. The second was associated with a subperiosteal hematoma of the orbital roof complicating a periorbital bone infarction in a patient with sickle-thalassemia.
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Affiliation(s)
- H Louati
- Service de Radiopédiatrie, Hôpital d'Enfants, place Bab-Sâadoun, 1007 Tunis Jabbari, Tunisie
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12
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Prise en charge de l’inflammation orbitaire en médecine interne : à propos d’une série de 29 patients consécutifs. Rev Med Interne 2012; 33:69-75. [DOI: 10.1016/j.revmed.2011.11.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2011] [Revised: 10/20/2011] [Accepted: 11/29/2011] [Indexed: 01/26/2023]
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