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A case of intramuscular hemangioma presenting with large-angle hypertropia.

Kim SH, Shin HH, Rho BK, Lee ES, Baek SH - Korean J Ophthalmol (2006)

Bottom Line: Additionally, a significant limitation of his downgaze was noted.Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration.Incisional biopsy revealed an intramuscular hemangioma in the superior rectus muscle with cavernous-type vessels.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Korea University College of Medicine, Ansan Hospital, Gyeonggi-do, Korea.

ABSTRACT

Purpose: To report the case of a patient with large-angle hypertropia of an intramuscular hemangioma of the right superior rectus muscle (SR).

Methods: A 63-year-old man with progressive vertical deviation of the right eye for the past 6 months visited our strabismus department; his condition was not painful. An examination indicated that he had 60PD of right hypertropia at distance and near in primary gaze. Additionally, a significant limitation of his downgaze was noted. The right eye appeared mildly proptotic, and the upper and lower eyelids were slightly edematous. Corrected vision was 20/20 in both eyes.

Results: Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration. Incisional biopsy revealed an intramuscular hemangioma in the superior rectus muscle with cavernous-type vessels.

Conclusions: This case demonstrates that intramuscular hemangioma should be considered in the differential diagnosis of isolated extraocular muscle enlargement and unusual strabismus.

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Related in: MedlinePlus

Orbital MRI T1-weighted gadolinium enhanced images. (a) Axial view demonstrates the fusiform enlargement of the right superior rectus with marked enhancement. (b) Coronal view demonstrates the marked enlargement of the right superior rectus with an irregular pattern of enhancement.
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Figure 2: Orbital MRI T1-weighted gadolinium enhanced images. (a) Axial view demonstrates the fusiform enlargement of the right superior rectus with marked enhancement. (b) Coronal view demonstrates the marked enlargement of the right superior rectus with an irregular pattern of enhancement.

Mentions: Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration. (Fig. 2a, b) All other structures in the right orbit were normal except an incidental middle cranial artery (MCA) aneurysm in the left hemisphere, which was clipped by a neurosurgeon; the neurosurgeon indicated that the MCA aneurysm was not associated with the tumor.


A case of intramuscular hemangioma presenting with large-angle hypertropia.

Kim SH, Shin HH, Rho BK, Lee ES, Baek SH - Korean J Ophthalmol (2006)

Orbital MRI T1-weighted gadolinium enhanced images. (a) Axial view demonstrates the fusiform enlargement of the right superior rectus with marked enhancement. (b) Coronal view demonstrates the marked enlargement of the right superior rectus with an irregular pattern of enhancement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908847&req=5

Figure 2: Orbital MRI T1-weighted gadolinium enhanced images. (a) Axial view demonstrates the fusiform enlargement of the right superior rectus with marked enhancement. (b) Coronal view demonstrates the marked enlargement of the right superior rectus with an irregular pattern of enhancement.
Mentions: Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration. (Fig. 2a, b) All other structures in the right orbit were normal except an incidental middle cranial artery (MCA) aneurysm in the left hemisphere, which was clipped by a neurosurgeon; the neurosurgeon indicated that the MCA aneurysm was not associated with the tumor.

Bottom Line: Additionally, a significant limitation of his downgaze was noted.Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration.Incisional biopsy revealed an intramuscular hemangioma in the superior rectus muscle with cavernous-type vessels.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Korea University College of Medicine, Ansan Hospital, Gyeonggi-do, Korea.

ABSTRACT

Purpose: To report the case of a patient with large-angle hypertropia of an intramuscular hemangioma of the right superior rectus muscle (SR).

Methods: A 63-year-old man with progressive vertical deviation of the right eye for the past 6 months visited our strabismus department; his condition was not painful. An examination indicated that he had 60PD of right hypertropia at distance and near in primary gaze. Additionally, a significant limitation of his downgaze was noted. The right eye appeared mildly proptotic, and the upper and lower eyelids were slightly edematous. Corrected vision was 20/20 in both eyes.

Results: Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration. Incisional biopsy revealed an intramuscular hemangioma in the superior rectus muscle with cavernous-type vessels.

Conclusions: This case demonstrates that intramuscular hemangioma should be considered in the differential diagnosis of isolated extraocular muscle enlargement and unusual strabismus.

Show MeSH
Related in: MedlinePlus