Epidermoid-induced pulsating eye.

S R Bitar; J B Selhorst; C R Archer

Home/Archive/PubMed

PubMed · 8447647

Epidermoid-induced pulsating eye.

S R Bitar·J B Selhorst·C R Archer

View original source ↗Export metadata ↓

Abstract

An otherwise asymptomatic 62-year-old woman had a pulsating but not proptotic eye. Computed tomography showed a low-density mass lesion in the temporal lobe that extended through a defective greater wing of the sphenoid, indented the lateral rectus muscle, and displaced the optic nerve. Magnetic resonance imaging confirmed these findings and showed no enhancement of the lesion by gadolinium. An epidermoid cyst was diagnosed on the basis of its location in the cleavage lines of the temporal lobe, irregular margins, low density by imaging scans, lack of enhancement, and invasion of the orbit. Epidermoid tumors are, therefore, another cause for a pulsating eye.

Explore related subjects

Arachnoid Cysts Brain Diseases Contrast Media Diagnosis, Differential Epidermal Cyst Eye Diseases Female Gadolinium Humans Magnetic Resonance Imaging Middle Aged Neurofibroma Ocular Motility Disorders Tomography, X-Ray Computed Case Reports Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

S R Bitar, J B Selhorst, C R Archer. 1993. Epidermoid-induced pulsating eye.. https://pubmed.ncbi.nlm.nih.gov/8447647/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Unusual presentation of cervical spinal intramedullary arachnoid cyst in childhood: case report and review of the literature.

The authors report a 7-year-old girl who presented with progressive quadriparesis which had started a month before admission. Magnetic resonance imaging of the spine revealed an intramedullary cystic lesion extending from C(2) to C(4). After performing a C(2-5) laminectomy, the cyst was drained and anatomically fenestrated with the subarachnoid space by a 1-cm vertical median myelotomy without using a stent. The histopathological findings revealed arachnoid cyst. In the first month after operation, the neurological deficits disappeared gradually, except for a slight left upper paresis. Cervical spinal intramedullary arachnoid cyst is extremely rare and should be considered in the differential diagnosis of intramedullary cystic lesions in childhood. Recovery is possible after subtotal excision and fenestration of the cyst to allow communication with the subarachnoid space even if neurological deficits are present for a long time.

Arachnoid Cysts↗

PubMed2006

Two-step surgical treatment using miniature Ommaya's reservoirs for a neonate with multiple large arachnoid cysts.

METHOD: We followed a two-step surgical strategy using miniature Ommaya's reservoirs in an early neonate with multiple large arachnoid cysts. CONCLUSION: Percutaneous fluid aspiration through the reservoirs placed during the first operation permitted the infant to develop sufficiently to withstand the second, more radical cyst wall excision.

Arachnoid Cysts↗

PubMed2006

Birth trauma and development of growing fracture after coronal suture disruption.

INTRODUCTION: A growing fracture is a rare complication of skull fractures characterized by progressive diastatic enlargement of the fracture line. Growing skull fractures related to birth trauma were only occasionally reported. As far as we know, only one previous case of a neonatal growing fracture secondary to coronal suture disruption has been reported. CASE REPORT: We present the case of a full-term infant born after a nontraumatic, forceps-assisted spontaneous delivery, who developed an increasing cystic swelling over the left frontoparietal area that crossed over coronal and sagittal sutures. The lesion was initially misinterpreted as cephalhematoma. Clinical and radiological follow-up established the correct diagnosis of leptomeningeal cyst. OUTCOME: The collection was initially tapped. Surgical treatment was undertaken thereafter, consisting of decompression and resection of the cyst and dural repair. Two months after follow-up, the patient remains asymptomatic and the porencephalic cavity remains isolated from the extradural space, with no evidence of new fluid collections.

Arachnoid Cysts↗