Spontaneous regression of a presumed orbital apex cavernous venous malformation.

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Oculoplastic and Orbital Surgery, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York, New York, USA.

Published: August 2024

AI Article Synopsis

  • A 42-year-old woman, not experiencing menopause and not pregnant, discovered a lesion in her right orbital apex that was causing mild optic nerve compression.
  • Imaging indicated that the mass was likely a cavernous venous malformation displacing the optic nerve.
  • Over 15 years of monitoring with regular imaging and exams, the lesion significantly shrank, and the optic neuropathy completely resolved.

Article Abstract

A 42-year-old non-menopausal, non-pregnant woman presented with an incidentally noted right orbital apex lesion producing mild compressive optic neuropathy. Imaging revealed an apical, intraconal, inhomogenously enhancing mass consistent with a cavernous venous malformation displacing the optic nerve. The patient was monitored over a 15-year period with serial orbital imaging and clinical examinations and ultimately demonstrated significant regression in the size of the lesion, accompanied by the complete resolution of optic neuropathy. She was non-menopausal when the regression was noted and remained non-pregnant throughout the follow-up period.

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Source
http://dx.doi.org/10.1080/01676830.2023.2202731DOI Listing

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