Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.

A 42-year-old Malay gentleman presented with progressive painless blurring of vision on his left eye associated with ocular ache, redness and increasing proptosis. Examination revealed presence of relative afferent papillary defect with visual acuity of counting finger, and 6/6 on the right eye. Ext...

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Main Authors:	Umi Kalthum MN, Amin A, Syazarina SO, Faridah HA
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2013
Online Access:	http://journalarticle.ukm.my/6671/ http://journalarticle.ukm.my/6671/ http://journalarticle.ukm.my/6671/1/08-MS1089_%2825-27%29.pdf

id	ukm-6671
recordtype	eprints
spelling	ukm-66712016-12-14T06:41:52Z http://journalarticle.ukm.my/6671/ Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report. Umi Kalthum MN, Amin A, Syazarina SO, Faridah HA, A 42-year-old Malay gentleman presented with progressive painless blurring of vision on his left eye associated with ocular ache, redness and increasing proptosis. Examination revealed presence of relative afferent papillary defect with visual acuity of counting finger, and 6/6 on the right eye. Extraocular muscle movement of the left eye was restricted to ten percent in all directions. Computed tomography (CT) and magnetic resonance imaging (MRI) showed enhancing mass occupying the left orbital apex. Diagnosis of optic nerve sheath meningioma was made, and patient subsequently went for radiotherapy. His symptoms subsided completely, until he presented with similar visual complains, and fullness of the upper lid two years later. A repeated MRI showed enlargement of superior and lateral recti muscles with extension to lacrimal gland region. Biopsy of the lacrimal gland revealed inflammatory cells consistent of inflammatory pseudotumor. High dose systemic steroid was instituted, followed by slow tapering of oral steroid. His symptoms completely resolved, and latest visual acuity was 6/9, with no recurrence, to date. Department of Surgery, UKM Medical Centre 2013-02 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6671/1/08-MS1089_%2825-27%29.pdf Umi Kalthum MN, and Amin A, and Syazarina SO, and Faridah HA, (2013) Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report. Journal of Surgical Academia, 3 (1). pp. 25-27. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	A 42-year-old Malay gentleman presented with progressive painless blurring of vision on his left eye associated with ocular ache, redness and increasing proptosis. Examination revealed presence of relative afferent papillary defect with visual acuity of counting finger, and 6/6 on the right eye. Extraocular muscle movement of the left eye was restricted to ten percent in all directions. Computed tomography (CT) and magnetic resonance imaging (MRI) showed enhancing mass occupying the left orbital apex. Diagnosis of optic nerve sheath meningioma was made, and patient subsequently went for radiotherapy. His symptoms subsided completely, until he presented with similar visual complains, and fullness of the upper lid two years later. A repeated MRI showed enlargement of superior and lateral recti muscles with extension to lacrimal gland region. Biopsy of the lacrimal gland revealed inflammatory cells consistent of inflammatory pseudotumor. High dose systemic steroid was instituted, followed by slow tapering of oral steroid. His symptoms completely resolved, and latest visual acuity was 6/9, with no recurrence, to date.
format	Article
author	Umi Kalthum MN, Amin A, Syazarina SO, Faridah HA,
spellingShingle	Umi Kalthum MN, Amin A, Syazarina SO, Faridah HA, Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
author_facet	Umi Kalthum MN, Amin A, Syazarina SO, Faridah HA,
author_sort	Umi Kalthum MN,
title	Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
title_short	Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
title_full	Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
title_fullStr	Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
title_full_unstemmed	Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
title_sort	idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.
publisher	Department of Surgery, UKM Medical Centre
publishDate	2013
url	http://journalarticle.ukm.my/6671/ http://journalarticle.ukm.my/6671/ http://journalarticle.ukm.my/6671/1/08-MS1089_%2825-27%29.pdf
first_indexed	2023-09-18T19:47:33Z
last_indexed	2023-09-18T19:47:33Z
_version_	1777406001863983104

Idiopathic orbital inflammatory pseudotumour mimicking optic nerve sheath meningioma- a case report.

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