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DOI: 10.1055/s-0045-1805011
Orbital Pseudotumor: Neurosurgical Perspective
Pseudotumor orbitário: Perspectiva neurocirúrgica
Abstract
Idiopathic orbital inflammation is the third most common orbital affection, characterized by a benign inflammatory process, which is neither infectious nor neoplastic and can affect any orbital tissue. A 31-year-old female patient was referred to neurosurgical evaluation due to left orbital pseudotumor, which was nonresponsive to high doses of corticosteroid therapy. During the neurological examination, we identified reduced visual acuity, complete external ophthalmoplegia, ocular pain, and severe proptosis. A neurosurgical intervention with lateral orbitotomy was performed, with great pain relief. In the present case report, we discuss the disease and its natural course and call the attention of neurosurgeons to prompt intervention in selected cases.
Resumo
A inflamação orbital idiopática é a terceira causa mais comum de afecção orbital, caracterizada por processo inflamatório benigno, não infeccioso nem neoplásico, o qual pode acometer qualquer tecido orbital. Uma paciente de 31 anos, foi encaminhada para neurocirurgia em decorrência de um pseudotumor orbital à esquerda, o qual não respondeu ao tratamento com altas doses de corticosteroides. No exame neurológico, foram identificadas redução da acuidade visual, oftalmoplegia externa, dor ocular e ptose severa. Neste relato de caso, discutimos o curso natural da doença e chamamos a atenção dos neurocirurgiões para a intervenção de urgência em casos selecionados.
Publikationsverlauf
Eingereicht: 30. Mai 2023
Angenommen: 23. Oktober 2024
Artikel online veröffentlicht:
27. März 2025
© 2025. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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