Limits...
Neurofibromatosis type 1 (NF1), right orbital plexiform neurofibroma, sphenoid wing hypoplasia, possible optic nerve glioma.

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Neurofibromatosis type 1 (NF1), right orbital plexiform neurofibroma, sphenoid wing hypoplasia, possible optic nerve glioma.

History: 21 month old girl with proptosis

Findings: • A soft tissue mass noted laterally to the lateral rectus muscle in the pre and post septal portions of the right orbit • Asymmetry of the CSF-containing spaces in the middle cranial fossa, larger on the right without mass effect on the temporal lobe. • Right sphenoid wing hypoplasia causing deformity of the right orbit, which is widened and flattened posteriorly rather than conical. • Right optic nerve has a globular appearance near the orbital fissure • Unenhanced brain parenchyma demonstrates no abnormality. • Globes are symmetrical in size and appearance • Left optic nerve is unremarkable

Ddx: Soft tissue mass • Plexiform neurofibroma of the orbit • Dermoid cyst • Infectious (lacrimal gland, orbital cellulitis) • Other sarcoma (i.e. rhabdomyosarcoma, lipoma) • Lymphoma Right Middle Fossa Fluid • Epidermoid cyst • Arachnoid cyst Sphenoid wing hypoplasia • Bone dysplasia secondary to plexiform neurofibroma • Congenital bony malformation • Trauma Right optic nerve globular appearance • Optic nerve glioma • Suprasellar germinoma • Craniopharyngioma • Infiltrative disorders such as sarcoidosis, lymphoma, and Langerhans histiocytosis.

Dxhow: Imaging findings

Exam: Right eye proptosis

No MeSH data available.


© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2536&req=5


Neurofibromatosis type 1 (NF1), right orbital plexiform neurofibroma, sphenoid wing hypoplasia, possible optic nerve glioma.

Patterson RAP - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2536&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Neurofibromatosis type 1 (NF1), right orbital plexiform neurofibroma, sphenoid wing hypoplasia, possible optic nerve glioma.

History: 21 month old girl with proptosis

Findings: • A soft tissue mass noted laterally to the lateral rectus muscle in the pre and post septal portions of the right orbit • Asymmetry of the CSF-containing spaces in the middle cranial fossa, larger on the right without mass effect on the temporal lobe. • Right sphenoid wing hypoplasia causing deformity of the right orbit, which is widened and flattened posteriorly rather than conical. • Right optic nerve has a globular appearance near the orbital fissure • Unenhanced brain parenchyma demonstrates no abnormality. • Globes are symmetrical in size and appearance • Left optic nerve is unremarkable

Ddx: Soft tissue mass • Plexiform neurofibroma of the orbit • Dermoid cyst • Infectious (lacrimal gland, orbital cellulitis) • Other sarcoma (i.e. rhabdomyosarcoma, lipoma) • Lymphoma Right Middle Fossa Fluid • Epidermoid cyst • Arachnoid cyst Sphenoid wing hypoplasia • Bone dysplasia secondary to plexiform neurofibroma • Congenital bony malformation • Trauma Right optic nerve globular appearance • Optic nerve glioma • Suprasellar germinoma • Craniopharyngioma • Infiltrative disorders such as sarcoidosis, lymphoma, and Langerhans histiocytosis.

Dxhow: Imaging findings

Exam: Right eye proptosis

No MeSH data available.