دورية أكاديمية
Lateral micro-orbitotomy as the technique of choice for orbital pseudotumor in IgG4-RD. Case report and review of the literature.
| العنوان: | Lateral micro-orbitotomy as the technique of choice for orbital pseudotumor in IgG4-RD. Case report and review of the literature. |
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| المؤلفون: | Bravo-Garrido G; Servicio de Neurocirugía, Hospital Universitario Torrecárdenas, Almería, Spain. Electronic address: gema.alguazas@gmail.com., Narro-Donate JM; Servicio de Neurocirugía, Hospital Universitario Torrecárdenas, Almería, Spain., Valdenebro-Cuadrado GM; Servicio de Anatomía Patológica, Hospital Universitario Torrecárdenas, Almería, Spain., Masegosa-González J; Servicio de Neurocirugía, Hospital Universitario Torrecárdenas, Almería, Spain. |
| المصدر: | Neurocirugia (English Edition) [Neurocirugia (Astur : Engl Ed)] 2024 Jul-Aug; Vol. 35 (4), pp. 215-220. Date of Electronic Publication: 2024 May 25. |
| نوع المنشور: | Case Reports; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España, S.L.U Country of Publication: Spain NLM ID: 101778588 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2529-8496 (Electronic) Linking ISSN: 25298496 NLM ISO Abbreviation: Neurocirugia (Astur : Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Barcelona] : Elsevier España, S.L.U., 2017- |
| مواضيع طبية MeSH: | Orbital Pseudotumor*/surgery , Orbital Pseudotumor*/diagnostic imaging , Immunoglobulin G4-Related Disease*/surgery , Immunoglobulin G4-Related Disease*/complications , Immunoglobulin G4-Related Disease*/diagnostic imaging , Orbit*/surgery , Orbit*/diagnostic imaging, Humans ; Female ; Middle Aged ; Magnetic Resonance Imaging ; Exophthalmos/etiology |
| مستخلص: | Immunoglobulin G4-related disease (IgG4-RD) is characterized by a systemic fibroinflammatory infiltrate that often involves the orbit in addition to other tissues. Thus it has to be considered in the differential diagnosis of orbital tumors. We report the clinical case of a 64-year-old woman who presented with right mydriasis, progressive proptosis and paralysis of the third cranial nerve of 1 year of evolution. Cranial MRI identified an intraconal lesion of the right orbit, located between the external and inferior rectus muscles and the optic nerve, and she was scheduled for surgery by transcranial approach with lateral micro-orbitomy. A satisfactory macroscopic excision was achieved with no remarkable complications and a definitive deferred histological result of pseudotumor by IgG4-RD. Follow-up for 24 months showed no tumor recurrence, and the patient clinically improved from ophthalmoplegia. This case highlights the efficacy of lateral orbitotomy in the etiologic diagnosis and successful therapeutic outcome of complex orbital lesions associated with IgG4-RD pseudotumor. (Copyright © 2024 Sociedad Española de Neurocirugía. Published by Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Abordaje lateral orbitario; Endoscopic lateral orbitotomy; Enfermedad relacionada IgG4; IgG4-related disease; Lateral orbital approach; Lateral orbitotomy; Orbital pseudotumor; Orbitotomía lateral; Orbitotomía lateral endoscópica; Pseudotumor orbitario |
| تواريخ الأحداث: | Date Created: 20240527 Date Completed: 20240704 Latest Revision: 20240816 |
| رمز التحديث: | 20240817 |
| DOI: | 10.1016/j.neucie.2024.05.001 |
| PMID: | 38801860 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2529-8496 |
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| DOI: | 10.1016/j.neucie.2024.05.001 |