RESUMEN
Angiomatous meningioma is a rare and distinct meningioma variant characterised with predominance of microvascularcomponent.There are few reported cases in literature with limited information on ophthalmic manifestations and radiological findings. There is no consistent feature reported so far of this neoplasm to aid in its diagnosis. Authors report an interesting case of Angiomatous Meningioma presenting as an aggressively expanding orbital mass lesion with adjacent bony destruction mimicking a malignant neoplasm.
Asunto(s)
Meningioma/diagnóstico , Neoplasias Orbitales/diagnóstico , Biopsia , Terapia Combinada , Craneotomía , Diagnóstico Diferencial , Humanos , Inmunohistoquímica , Imagen por Resonancia Magnética , Masculino , Meningioma/radioterapia , Meningioma/cirugía , Persona de Mediana Edad , Neoplasias Orbitales/radioterapia , Neoplasias Orbitales/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Bilateral intracavernous carotid artery aneurysms are rare and can present with different clinical findings. We report such a case presenting with progressive cranial nerve palsies due to gradual increase in the size of aneurysms. This case demonstrates the clinician's difficulty in diagnosis when isolated cranial nerve palsy is the sole presenting sign.
Asunto(s)
Nervio Abducens , Enfermedades de las Arterias Carótidas/complicaciones , Enfermedades de los Nervios Craneales/etiología , Aneurisma Intracraneal/complicaciones , Anciano de 80 o más Años , Enfermedades de las Arterias Carótidas/diagnóstico , Enfermedades de los Nervios Craneales/fisiopatología , Diplopía/etiología , Progresión de la Enfermedad , Femenino , Humanos , Aneurisma Intracraneal/diagnóstico , Imagen por Resonancia Magnética , Trombosis/diagnóstico , Trombosis/etiologíaRESUMEN
A 65-year-old man on warfarin therapy with a sudden spontaneous onset of sub-conjunctival haematoma associated with bloody tears was assessed in the clinic following a referral from an optometrist. Due to discomfort, diplopia and lagophthalmos, the haematoma necessitated suspension of warfarin therapy and a surgical evacuation. The sub-conjunctival haematoma in a patient receiving warfarin can pose a significant management challenge.
Asunto(s)
Anticoagulantes/efectos adversos , Enfermedades de la Conjuntiva/inducido químicamente , Hemorragia del Ojo/inducido químicamente , Hematoma/inducido químicamente , Warfarina/efectos adversos , Anciano , Anticoagulantes/uso terapéutico , Fibrilación Atrial/tratamiento farmacológico , Enfermedades de la Conjuntiva/patología , Hemorragia del Ojo/patología , Hematoma/patología , Humanos , Masculino , Warfarina/uso terapéuticoRESUMEN
A 46-year-old man was referred to the eye clinic with a one-week history of micropsia, metamorphosia, and decreased vision in his left eye. Clinical examination was within normal limits for the anterior segment. The posterior segment examination revealed multiple areas of neurosensory retinal detachment in both fundi. Fundus fluorescein angiography confirmed the diagnosis, with areas of multiple leaks. This case is an atypical presentation of central serous retinopathy with bilateral multiple RPE detachment leading to foci of neurosensory retinal detachment with active leaking points.