Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review
Abstract Background Intramuscular haemangiomas are rare, benign vascular tumours that represent < 1% of all haemangiomas. When involving the extraocular muscles, haemangiomas are extremely rare, with only nine cases reported in the literature; to date there are no reported cases of extraocular mu...
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BMC
2022-05-01
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Series: | BMC Ophthalmology |
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Online Access: | https://doi.org/10.1186/s12886-022-02429-4 |
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author | Saud Al-Johani Arwa Al-Romaih |
author_facet | Saud Al-Johani Arwa Al-Romaih |
author_sort | Saud Al-Johani |
collection | DOAJ |
description | Abstract Background Intramuscular haemangiomas are rare, benign vascular tumours that represent < 1% of all haemangiomas. When involving the extraocular muscles, haemangiomas are extremely rare, with only nine cases reported in the literature; to date there are no reported cases of extraocular muscle haemangiomas extending into the brain. Case presentation A 6-year-old boy with a two-week history of a painless swelling and erythema on the upper eyelid. On examination, the patient had restricted extraocular motility in all directions of gaze. In addition, the eye appeared proptotic, with chemosis and hyperaemia of the conjunctiva. Visual acuity and intraocular pressure were normal. Orbital computed tomography imaging showed a mass in the left superior rectus, with heterogeneous enhancement following contrast administration. Incisional biopsy revealed an intramuscular haemangioma of the superior rectus muscle with capillary-type vessels. The patient received an intralesional steroid, which improved the condition for a few months; however, the lesion later recurred and included an intracranial extension. Conclusion This case represents the first reported case of intracranial extension of intramuscular haemangioma of extraocular muscle. |
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language | English |
last_indexed | 2024-04-13T14:20:53Z |
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spelling | doaj.art-5be9213c009247df8c24b8d231e1ab4a2022-12-22T02:43:28ZengBMCBMC Ophthalmology1471-24152022-05-012211510.1186/s12886-022-02429-4Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature reviewSaud Al-Johani0Arwa Al-Romaih1Department of Ophthalmology, College of Medicine, Imam Abdulrahman Bin Faisal UniversityDepartment of Ophthalmology, College of Medicine, King Saud UniversityAbstract Background Intramuscular haemangiomas are rare, benign vascular tumours that represent < 1% of all haemangiomas. When involving the extraocular muscles, haemangiomas are extremely rare, with only nine cases reported in the literature; to date there are no reported cases of extraocular muscle haemangiomas extending into the brain. Case presentation A 6-year-old boy with a two-week history of a painless swelling and erythema on the upper eyelid. On examination, the patient had restricted extraocular motility in all directions of gaze. In addition, the eye appeared proptotic, with chemosis and hyperaemia of the conjunctiva. Visual acuity and intraocular pressure were normal. Orbital computed tomography imaging showed a mass in the left superior rectus, with heterogeneous enhancement following contrast administration. Incisional biopsy revealed an intramuscular haemangioma of the superior rectus muscle with capillary-type vessels. The patient received an intralesional steroid, which improved the condition for a few months; however, the lesion later recurred and included an intracranial extension. Conclusion This case represents the first reported case of intracranial extension of intramuscular haemangioma of extraocular muscle.https://doi.org/10.1186/s12886-022-02429-4Intramuscular haemangiomaExtraocular muscleIntracranial extension |
spellingShingle | Saud Al-Johani Arwa Al-Romaih Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review BMC Ophthalmology Intramuscular haemangioma Extraocular muscle Intracranial extension |
title | Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review |
title_full | Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review |
title_fullStr | Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review |
title_full_unstemmed | Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review |
title_short | Intracranial extension of an intramuscular haemangioma of superior rectus: case report and literature review |
title_sort | intracranial extension of an intramuscular haemangioma of superior rectus case report and literature review |
topic | Intramuscular haemangioma Extraocular muscle Intracranial extension |
url | https://doi.org/10.1186/s12886-022-02429-4 |
work_keys_str_mv | AT saudaljohani intracranialextensionofanintramuscularhaemangiomaofsuperiorrectuscasereportandliteraturereview AT arwaalromaih intracranialextensionofanintramuscularhaemangiomaofsuperiorrectuscasereportandliteraturereview |