Objectives:To evaluate the clinical,radiological,and histopathological features,treatment,and outcome of a series of orbital venous flow malformations(OVMs )with the aim of delineating a more systema tic approach for ...Objectives:To evaluate the clinical,radiological,and histopathological features,treatment,and outcome of a series of orbital venous flow malformations(OVMs )with the aim of delineating a more systema tic approach for treatment.Methods:A 38-year retro spective review of22patients with OVMs followed up at 1institute.Re-sults:Eighteen of 22patients(13women and 9men)showed clinical or radiological evidence of distensibility.The mean age at the initial manifesta tion was 28.3and50.7years in patients with distensible and nondistensible OVMs,respectively.Eight patients(36.3%)had deep orbital lesions,6(27.3%)had superficial orbital le-sions,and 8(36.3%)had combined orbital lesions.All 3patients with deep nondistensible OVMs had a sudden onset of proptosis and pain or diplopia secondary to thrombosis or hemorrhage.Sevent een patients required treatment.All 4nondistensible lesions were treated by surgical excision.A variety of tech niques were used to treat distensible OVMs including carbon dioxide laserablation,percutaneous alcohol sclerotherapy,or em-bolization with Guglielmi detachab le coils after surgical exposure and surgical excision.Of t he 14patients with follow-up,8had complete resolutio n of the signs and symptoms and 6patients showed marked improvement following surgery.Mean follow-up w as 57.8months.Conclusion:If intervention is indi cated,less invasive methods such as carbon dioxide laser ablation and per-cutaneous alcohol sclerotherapy fo r superficial and com-bined orbital lesions and endovascu lar treatment by Guglielmi detachable coil emboliza tion for deep orbital lesions should be considered before proceeding with more invasive procedures.展开更多
The venous drainage of the orbit is known to be via the ophthalmic and vortex veins which communicate with the cavernous sinus. We describe two patients with raised intracranial pressure presenting with periorbital br...The venous drainage of the orbit is known to be via the ophthalmic and vortex veins which communicate with the cavernous sinus. We describe two patients with raised intracranial pressure presenting with periorbital bruising. In one patient durai venous sinus thrombosis was demonstrated and it is suspected that the cause of the raised intracranial pressure may have been the some in the second. We suggest that the abrupt rise of pressure in the cerebral venous system was transmitted via the cavernous sinus to the orbital venous system.展开更多
文摘Objectives:To evaluate the clinical,radiological,and histopathological features,treatment,and outcome of a series of orbital venous flow malformations(OVMs )with the aim of delineating a more systema tic approach for treatment.Methods:A 38-year retro spective review of22patients with OVMs followed up at 1institute.Re-sults:Eighteen of 22patients(13women and 9men)showed clinical or radiological evidence of distensibility.The mean age at the initial manifesta tion was 28.3and50.7years in patients with distensible and nondistensible OVMs,respectively.Eight patients(36.3%)had deep orbital lesions,6(27.3%)had superficial orbital le-sions,and 8(36.3%)had combined orbital lesions.All 3patients with deep nondistensible OVMs had a sudden onset of proptosis and pain or diplopia secondary to thrombosis or hemorrhage.Sevent een patients required treatment.All 4nondistensible lesions were treated by surgical excision.A variety of tech niques were used to treat distensible OVMs including carbon dioxide laserablation,percutaneous alcohol sclerotherapy,or em-bolization with Guglielmi detachab le coils after surgical exposure and surgical excision.Of t he 14patients with follow-up,8had complete resolutio n of the signs and symptoms and 6patients showed marked improvement following surgery.Mean follow-up w as 57.8months.Conclusion:If intervention is indi cated,less invasive methods such as carbon dioxide laser ablation and per-cutaneous alcohol sclerotherapy fo r superficial and com-bined orbital lesions and endovascu lar treatment by Guglielmi detachable coil emboliza tion for deep orbital lesions should be considered before proceeding with more invasive procedures.
文摘The venous drainage of the orbit is known to be via the ophthalmic and vortex veins which communicate with the cavernous sinus. We describe two patients with raised intracranial pressure presenting with periorbital bruising. In one patient durai venous sinus thrombosis was demonstrated and it is suspected that the cause of the raised intracranial pressure may have been the some in the second. We suggest that the abrupt rise of pressure in the cerebral venous system was transmitted via the cavernous sinus to the orbital venous system.
