Back to Search Start Over

[A Girl with Intraorbital Varix: A Case Report].

Authors :
Uesaka T
Nakajima N
Amemiya T
Matsuo Y
Nagaoka S
Kameda K
Ikai Y
Uno J
Inoue Y
Gi H
Source :
No shinkei geka. Neurological surgery [No Shinkei Geka] 2015 Jul; Vol. 43 (7), pp. 635-40.
Publication Year :
2015

Abstract

We report a case of intraorbital varix. A 16-year-old girl showed sudden left-sided exophthalmos after vomiting. After several episodes of vomiting, she developed complete loss of vision in the left eye, followed by orbital pain, disruption of eye movement, and periorbital swelling. No change in symptoms or signs was observed after the Valsalva maneuver or jugular vein compression. Computed tomography (CT), magnetic resonance imaging (MRI), and angiography were inconclusive. Transcranial surgery revealed a large varix near the optic nerve. The lesion could not be completely resected because the orbital fat interfered with its complete visualization. We cauterized the lesion to reduce its volume. The patient's symptoms improved markedly after surgery and cauterization. Thus, cauterization appears to be an effective strategy to reduce the volume of an unresectable intraorbital varix.

Details

Language :
Japanese
ISSN :
0301-2603
Volume :
43
Issue :
7
Database :
MEDLINE
Journal :
No shinkei geka. Neurological surgery
Publication Type :
Academic Journal
Accession number :
26136328
Full Text :
https://doi.org/10.11477/mf.1436203089