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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 750-752
DOI: 10.4103/ajns.AJNS_236_20
Case Report

A cavernous venous malformation of the orbit mimicking an idiopathic orbital inflammation

Niphon Chirapapaisan
Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
,
Chanon Ngamsombat
1   Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
,
Jantima Tanboon
2   Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
,
Pornsuk Cheunsuchon
2   Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
,
Sugamon Koohasawad
3   Department of Ophthalmology, Prasat Neurological Institute, Bangkok
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Orbital cavernous venous malformations (CVMs) are usually slow progressing. Multiple CVMs, bilateral orbital CVMs, and acute presentations are rare. We present a rare, bilateral, orbital CVM with acute painful visual loss in the left eye. The initial clinical presentation mimicked an idiopathic orbital inflammation. Orbital magnetic resonance imaging revealed its rare location at the left orbital apex. Finally, pathology confirmed the presence of an intralesional hemorrhage of a CVM.

Key-words:

Cavernous venous malformations - idiopathic orbital inflammation - orbital

Financial support and sponsorship

Nil.




Publication History

Received: 18 May 2020

Accepted: 25 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. 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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