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CASE REPORT
Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 750-752

A cavernous venous malformation of the orbit mimicking an idiopathic orbital inflammation


1 Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
2 Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
3 Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
4 Department of Ophthalmology, Prasat Neurological Institute, Bangkok, Thailand

Correspondence Address:
Dr. Niphon Chirapapaisan
Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Siriraj, Bangkok Noi, Bangkok 10700
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_236_20

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Orbital cavernous venous malformations (CVMs) are usually slow progressing. Multiple CVMs, bilateral orbital CVMs, and acute presentations are rare. We present a rare, bilateral, orbital CVM with acute painful visual loss in the left eye. The initial clinical presentation mimicked an idiopathic orbital inflammation. Orbital magnetic resonance imaging revealed its rare location at the left orbital apex. Finally, pathology confirmed the presence of an intralesional hemorrhage of a CVM.


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