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Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma

Chordoid meningioma (CM) makes up only 1% of all meningiomas. Most cases of this variant are locally aggressive, have high growth potential, and are likely to recur. Although CMs are known to be invasive, they rarely extend into the retro-orbital space. Herein, we report a case of a central skull ba...

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Autores principales: Yang, Jia-He, Li, Meng-Syuan, Shen, Ming-Jin, Lin, Yu-Hsuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001141/
https://www.ncbi.nlm.nih.gov/pubmed/36899959
http://dx.doi.org/10.3390/diagnostics13050815
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author Yang, Jia-He
Li, Meng-Syuan
Shen, Ming-Jin
Lin, Yu-Hsuan
author_facet Yang, Jia-He
Li, Meng-Syuan
Shen, Ming-Jin
Lin, Yu-Hsuan
author_sort Yang, Jia-He
collection PubMed
description Chordoid meningioma (CM) makes up only 1% of all meningiomas. Most cases of this variant are locally aggressive, have high growth potential, and are likely to recur. Although CMs are known to be invasive, they rarely extend into the retro-orbital space. Herein, we report a case of a central skull base CM in a 78-year-old woman whose only manifestation was unilateral proptosis with impaired vision resulting from the tumor extending into the retro-orbital space through the superior orbital fissure. The diagnosis was confirmed by analysis of specimens collected during endoscopic orbital surgery, which simultaneously relieved the protruding eye and restored the patient’s visual acuity by decompressing the oppressed orbit. This rare presentation of CM reminds physicians there may be lesions outside the orbit that can cause unilateral orbitopathy and that endoscopic orbital surgery can be used to confirm its diagnosis as well as treat it.
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spelling pubmed-100011412023-03-11 Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma Yang, Jia-He Li, Meng-Syuan Shen, Ming-Jin Lin, Yu-Hsuan Diagnostics (Basel) Interesting Images Chordoid meningioma (CM) makes up only 1% of all meningiomas. Most cases of this variant are locally aggressive, have high growth potential, and are likely to recur. Although CMs are known to be invasive, they rarely extend into the retro-orbital space. Herein, we report a case of a central skull base CM in a 78-year-old woman whose only manifestation was unilateral proptosis with impaired vision resulting from the tumor extending into the retro-orbital space through the superior orbital fissure. The diagnosis was confirmed by analysis of specimens collected during endoscopic orbital surgery, which simultaneously relieved the protruding eye and restored the patient’s visual acuity by decompressing the oppressed orbit. This rare presentation of CM reminds physicians there may be lesions outside the orbit that can cause unilateral orbitopathy and that endoscopic orbital surgery can be used to confirm its diagnosis as well as treat it. MDPI 2023-02-21 /pmc/articles/PMC10001141/ /pubmed/36899959 http://dx.doi.org/10.3390/diagnostics13050815 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Yang, Jia-He
Li, Meng-Syuan
Shen, Ming-Jin
Lin, Yu-Hsuan
Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title_full Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title_fullStr Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title_full_unstemmed Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title_short Unilateral Orbitopathy Caused by Skull Base Chordoid Meningioma
title_sort unilateral orbitopathy caused by skull base chordoid meningioma
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001141/
https://www.ncbi.nlm.nih.gov/pubmed/36899959
http://dx.doi.org/10.3390/diagnostics13050815
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