Isolated Intraconal Meningioma

Abstract Purpose: To report a rare case of isolated intraconal meningioma. Case Report: A 24-year-old woman presented with painless proptosis in her left eye which started and progressed during her pregnancy about 10 months ago. Hertel exophthalomometry revealed anterior displacement of the globe wi...

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Autores principales: Mohammad Taher Rajabi, Kasra Cheraqpour, S. Saeed Mohammadi, Mohammad Veshagh, Seyedeh Zahra Poursayed Lazarjani, Farideh Hosseinzadeh, Fahimeh Asadi Amoli, Simindokht Hosseini
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Publicado: Knowledge E 2021
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Acceso en línea:https://doaj.org/article/d697523301904101a03daa11580fdfe8
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spelling oai:doaj.org-article:d697523301904101a03daa11580fdfe82021-11-09T08:05:35ZIsolated Intraconal Meningioma2008-20102008-322X10.18502/jovr.v16i4.9759https://doaj.org/article/d697523301904101a03daa11580fdfe82021-10-01T00:00:00Zhttps://doi.org/10.18502/jovr.v16i4.9759https://doaj.org/toc/2008-2010https://doaj.org/toc/2008-322XAbstract Purpose: To report a rare case of isolated intraconal meningioma. Case Report: A 24-year-old woman presented with painless proptosis in her left eye which started and progressed during her pregnancy about 10 months ago. Hertel exophthalomometry revealed anterior displacement of the globe with 4 mm of proptosis which was remarkable. Magnetic resonance imaging (MRI) demonstrated an intraconal circumscribed oval-shaped mass with hypointense signals on T1-weighted images and hyperintense signals on T2-weighted images, mimicking cavernous hemangioma. This mass, however, was free of any connections to optic nerve or bones. Due to the imaging characteristics, more prevalent diagnoses like cavernous hemangioma were placed on the top of the differential diagnoses list. However, during the surgical excision, the tumor’s consistency and gross features were not compatible with cavernous hemangioma. The pathologic findings instead determined meningotheliomatous meningioma, a very rare condition, which was far from our expectations prior to the surgery. Conclusion: Ectopic orbital meningiomas are rare tumors that are not easily diagnosed without postoperative histopathology. Despite its low prevalence, they should be considered in the differential diagnosis list of intraconal masses with hypointense signals on T1-weighted images and hyperintense signals on T2-weighted images.Mohammad Taher RajabiKasra CheraqpourS. Saeed MohammadiMohammad VeshaghSeyedeh Zahra Poursayed LazarjaniFarideh HosseinzadehFahimeh Asadi AmoliSimindokht HosseiniKnowledge Earticleectopic meningiomaintraconal meningiomaorbital meningiomaprimary meningiomaOphthalmologyRE1-994ENJournal of Ophthalmic & Vision Research, Vol 16, Iss 4, Pp 682-687 (2021)
institution DOAJ
collection DOAJ
language EN
topic ectopic meningioma
intraconal meningioma
orbital meningioma
primary meningioma
Ophthalmology
RE1-994
spellingShingle ectopic meningioma
intraconal meningioma
orbital meningioma
primary meningioma
Ophthalmology
RE1-994
Mohammad Taher Rajabi
Kasra Cheraqpour
S. Saeed Mohammadi
Mohammad Veshagh
Seyedeh Zahra Poursayed Lazarjani
Farideh Hosseinzadeh
Fahimeh Asadi Amoli
Simindokht Hosseini
Isolated Intraconal Meningioma
description Abstract Purpose: To report a rare case of isolated intraconal meningioma. Case Report: A 24-year-old woman presented with painless proptosis in her left eye which started and progressed during her pregnancy about 10 months ago. Hertel exophthalomometry revealed anterior displacement of the globe with 4 mm of proptosis which was remarkable. Magnetic resonance imaging (MRI) demonstrated an intraconal circumscribed oval-shaped mass with hypointense signals on T1-weighted images and hyperintense signals on T2-weighted images, mimicking cavernous hemangioma. This mass, however, was free of any connections to optic nerve or bones. Due to the imaging characteristics, more prevalent diagnoses like cavernous hemangioma were placed on the top of the differential diagnoses list. However, during the surgical excision, the tumor’s consistency and gross features were not compatible with cavernous hemangioma. The pathologic findings instead determined meningotheliomatous meningioma, a very rare condition, which was far from our expectations prior to the surgery. Conclusion: Ectopic orbital meningiomas are rare tumors that are not easily diagnosed without postoperative histopathology. Despite its low prevalence, they should be considered in the differential diagnosis list of intraconal masses with hypointense signals on T1-weighted images and hyperintense signals on T2-weighted images.
format article
author Mohammad Taher Rajabi
Kasra Cheraqpour
S. Saeed Mohammadi
Mohammad Veshagh
Seyedeh Zahra Poursayed Lazarjani
Farideh Hosseinzadeh
Fahimeh Asadi Amoli
Simindokht Hosseini
author_facet Mohammad Taher Rajabi
Kasra Cheraqpour
S. Saeed Mohammadi
Mohammad Veshagh
Seyedeh Zahra Poursayed Lazarjani
Farideh Hosseinzadeh
Fahimeh Asadi Amoli
Simindokht Hosseini
author_sort Mohammad Taher Rajabi
title Isolated Intraconal Meningioma
title_short Isolated Intraconal Meningioma
title_full Isolated Intraconal Meningioma
title_fullStr Isolated Intraconal Meningioma
title_full_unstemmed Isolated Intraconal Meningioma
title_sort isolated intraconal meningioma
publisher Knowledge E
publishDate 2021
url https://doaj.org/article/d697523301904101a03daa11580fdfe8
work_keys_str_mv AT mohammadtaherrajabi isolatedintraconalmeningioma
AT kasracheraqpour isolatedintraconalmeningioma
AT ssaeedmohammadi isolatedintraconalmeningioma
AT mohammadveshagh isolatedintraconalmeningioma
AT seyedehzahrapoursayedlazarjani isolatedintraconalmeningioma
AT faridehhosseinzadeh isolatedintraconalmeningioma
AT fahimehasadiamoli isolatedintraconalmeningioma
AT simindokhthosseini isolatedintraconalmeningioma
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