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Extraconal cavernous hemangioma of orbit: A case report

Anand R, Deria K, Sharma P, Narula M, Garg R - Indian J Radiol Imaging (2008)

Bottom Line: Cavernous hemangioma is the most common benign noninfiltrative neoplasm of the orbit.Most cavernous hemangiomas are intraconal and lateral in location.We present a case of a cavernous hemangioma with an unusual extraconal and superomedial location.

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.

ABSTRACT

Cavernous hemangioma is the most common benign noninfiltrative neoplasm of the orbit. Most cavernous hemangiomas are intraconal and lateral in location. We present a case of a cavernous hemangioma with an unusual extraconal and superomedial location.

Sagittal T2W MRI image shows a hyperintense lesion (arrow) with signal voids (arrowheads) within
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Figure 0003: Sagittal T2W MRI image shows a hyperintense lesion (arrow) with signal voids (arrowheads) within

Mentions: USG revealed a well-encapsulated, compressible, echogenic mass lesion (approximately 2.8 × 1.7 cm in size) situated superomedially in the extraconal space of the left orbit. On Doppler, the mass showed multiple vascular channels (both arterial and venous channels) suggestive of a vascular lesion [Figure 1]. Small low-flow feeding arteries were seen. MRI showed an oval, encapsulated, superomedial, and extraconal mass in the left orbit. The mass appeared isointense to orbital muscle on T1W [Figure 2] and mildly hyperintense to orbital muscle on T2W [Figure 3] images, with intense enhancement on post-gadolinium scans [Figure 4a and b]. There was lateral displacement of the medial rectus muscle anteriorly with inferolateral displacement of the globe. The intraocular muscles and optic nerve sheath complex showed normal signal intensity.

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Extraconal cavernous hemangioma of orbit: A case report

Anand R, Deria K, Sharma P, Narula M, Garg R - Indian J Radiol Imaging (2008)

Sagittal T2W MRI image shows a hyperintense lesion (arrow) with signal voids (arrowheads) within
© Copyright Policy
Figure 0003: Sagittal T2W MRI image shows a hyperintense lesion (arrow) with signal voids (arrowheads) within
Mentions: USG revealed a well-encapsulated, compressible, echogenic mass lesion (approximately 2.8 × 1.7 cm in size) situated superomedially in the extraconal space of the left orbit. On Doppler, the mass showed multiple vascular channels (both arterial and venous channels) suggestive of a vascular lesion [Figure 1]. Small low-flow feeding arteries were seen. MRI showed an oval, encapsulated, superomedial, and extraconal mass in the left orbit. The mass appeared isointense to orbital muscle on T1W [Figure 2] and mildly hyperintense to orbital muscle on T2W [Figure 3] images, with intense enhancement on post-gadolinium scans [Figure 4a and b]. There was lateral displacement of the medial rectus muscle anteriorly with inferolateral displacement of the globe. The intraocular muscles and optic nerve sheath complex showed normal signal intensity.

Bottom Line: Cavernous hemangioma is the most common benign noninfiltrative neoplasm of the orbit.Most cavernous hemangiomas are intraconal and lateral in location.We present a case of a cavernous hemangioma with an unusual extraconal and superomedial location.

Affiliation: Department of Radiodiagnosis, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.

ABSTRACT

Background: Cavernous hemangioma is the most common benign noninfiltrative neoplasm of the orbit. Most cavernous hemangiomas are intraconal and lateral in location. We present a case of a cavernous hemangioma with an unusual extraconal and superomedial location.

View Similar Images In: Results  - Collection
View Article: Pubmed Central -  PubMed
Show All Figures - Show MeSH
getmorefigures.php?pmc=2747469&rFormat=json&query=null&req=5