Intraorbital meningoencephalocele mimicking a carotid-cavernous fistula.

J Fr Ophtalmol

Department of Ophthalmology, Military Hospital Mohammed V, avenue of FAR, hay Riyad, 10100 Rabat, Morocco.

Published: October 2023

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Source
http://dx.doi.org/10.1016/j.jfo.2023.01.038DOI Listing

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Article Synopsis
  • The text discusses a rare case of post-traumatic intra-orbital meningoencephalocele in a 69-year-old man due to an orbital roof fracture, which was successfully treated with a modified one-piece orbitozygomatic craniotomy.
  • An extensive literature review included 22 studies involving 28 patients, revealing that the majority were males around 34.7 years old, with most suffering from ocular injuries and many having associated intracranial issues.
  • The findings suggest that while many orbital roof fractures can be managed non-operatively, surgical intervention, such as the one performed in this case, provides better exposure and reduces brain retraction compared to traditional methods.
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Pulsating Exophthalmos due to Intraorbital Meningoencephalocele.

Am J Ophthalmol

September 2022

From the Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College; and Key Laboratory of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China. Electronic address:

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Blue Rubber Bleb Nevus Syndrome Manifesting as an Isolated Congenital Orbital Mass in a Neonate.

Ophthalmic Plast Reconstr Surg

July 2022

Department of Ophthalmology and Visual Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.

A male neonate presented with an isolated congenital right orbital vascular malformation without other mucocutaneous lesions or signs/symptoms of systemic disease. The orbital mass was progressive, causing amblyogenic ptosis by 6 months of age. Over 11 years, the patient underwent 4 orbital mass resections, 3 embolizations, and even a craniotomy with mass resection for an intraorbital meningoencephalocele secondary to orbital bony erosion.

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Purpose: Intraorbital encephalocele (OMEC) is a rare entity in adults, usually secondary to an orbital pathology or prior trauma, in particular orbital roof fractures. Treatment of the OMEC is warranted to alleviate the pulsating exophthalmos and prevent potential visual decline. OMEC and orbital roof fractures have been predominantly treated via a craniotomy with a reconstruction of the orbital roof using various implants.

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