Pseudotumor orbitário

Tella, Osvaldo Inácio; Braga, Fernando Menezes; Lauda, João Carlos Vaghetti; Rabinovitch, Mauro; Zymberg, Samuel

doi:10.5935/0004-2749.19900052

RESUMO

Os autores apresenta sua experiência em 10 casos de pseudotumor orbitário, processo inflamatório idiopático que apresenta maior incidência em mulheres e evolui com proptose leve ou moderada e dor. A tomografia computadorizada mostrou a forma de miosite em 5, acometimento difuso em 2 e lesão restrita à glândula lacrimal em 3 pacientes.

A recessão cirúrgica deve ser indicada nos casos restritos à glândula lacrimal. Os demais casos merecem tratamento conservador à base de esteróides.

Palavras-Chaves:
Pseudotumor; Proptose; Miosite; Glândula lacrimal

SUMMARY

The authors report 10 cases of idiopathic inflamatory orbital pseudotumors. The literature is review. Clinical manifestations and computerized tomography images are analysed.

Surgical ressection have to be indicated in tire cases restrict to lacrimal gland therapy with steroids is useful in the others cases.

Key Words:
Pseudotumor; Proptosis; Miositis; Lacrimal gland

Texto completo disponível apenas em PDF.

BIBLIOGRAFIA

¹
ABRAMOVITZ, J.N.; KOSDON, L.D.; SUTULA, F.: Sclerosing orbital pseudotumor. Neurosurgery 12 (4): 463-468, 1983.
²
BERNARDINO, M.E.; ZIMMERMAN, R.D.; CITRIN, C.M.: Scleral thickning: a CT sign of orbital pseudotumor. AJR 129: 703-706, 1977.
³
BLODI, F.C.; GASS, J.D.M.: Inflamatory pseudotumor of the orbit. Tr Am Acad Ophthalmol Otolaryng 71: 303-323, 1967.
⁴
BRIHAYE, J.: Neurosurgical approaches to orbital tumors. Adv. Tech Stand Neurosurg 3: 103-121, 1976.
⁵
BYRNE, S.F.; GLASER, J.S.: Orbital tissue differentiation with standardized echography. Ophthalmology 90: 1071-1090, 1983.
⁶
CHAVIS, R.M.; GARNER, A.; WRIGHT, J.E.: Inflamatory orbital pseudotumor. Arch Ophthalmol 96: 1817-1822, 1972.
⁷
DIAZ, A.G.; LOPEZ, A.S.; PORRES, A.M.J.: Orbital pseudotumor. Ophthalmologica (Basel) 8: 181-187, 1980.
⁸
DUANE, T.D.: Clinical Ophthalmology, vol 2: Neuro-Ophthalmology. Hogerstown M.D., Horper Row Publish Inc, 1983.
⁹
DUKE-ELDER - Textbook of Ophthalmology. Henry Kimpton, London vol XIII, 1974.
¹⁰
EDWARDS, M.K.; ZAUEL, D.W.; GILMOR, R.L.: Invasive orbital pseudotumor- CT demonstration of extension beyond orbit. Neuroradiology 23: 215-217, 1982.
¹¹
GARNER, A.: Pathology of pseudotumors of the orbit. A review. J Clin Pathol 26: 639-648, 1973.
¹²
HAMMERSCHLAG, S.B.; HESSELINK, J.R.; WEBER, A.C.: Computed tomography of the eye and orbit. Applecton-Century-Crofts/Norwalk, Connecticut, 1983.
¹³
HARR, D.L.; QUENCER, R.M.; ABRAMS, G.W.: Computed tomography and ultrasound in the evaluation of orbital infection and pseudotumor. Radiolology: 395-401, 1982.
¹⁴
HESSELINK, J.R.; DAVIS, K.R.; ROBERSON, G.H.: Computed tomography of in the lacrimal gland region. Radiology 131: 143-147, 1979.
¹⁵
HENDERSON, J.W.: Orbital tumors. Philadelphia, W.B. Saunders Co., 1973.
¹⁶
HOUSEPIAN, E.M.; TROKEL, S.L.; JAKOBIEC, F.O.: Tumors of the orbit in: Neurological Surgery, Ed. 2, Vol 5, edited by J.R. Youmans, 3024-3064, Philadelphia, W.B. Saunders, 1982.
¹⁷
HUNT, W.E.: Tolosa-Huntsyndrome: one cause of painful ophthalmoplegia. J. Neurosurg 4: 54-549, 1976.
¹⁸
HUNT, W.E.; MEAGHER, J.N.; LEFEVER, H.E.: Painful ophthalmoplegia. Neurology (Minneop) 11: 56-62, 1961.
¹⁹
INGALLS, R.C.: Tumors of the orbit and allied pseudotumors. Springfield II: Charles C Thomas Publisher, 24-30, 1953.
²⁰
JANE, J.A.; PARK, T.S.; POBERISKIR, L.H.: The supraorbital approach: technical note. Neurosurgery 11: 537 -540, 1982.
²¹
KENNERDELL, J.S.; DEKKER, A.; JOHNSON, B.L.: Fine needle aspiration biopsy. Arch Ophthalmol 97: 1315-1317, 1979.
²²
MAROON, J.C.; KENNERDELL, J.S.: Microsurgical approach to orbital tumors. Clin Neurosurg capítulo 18, 1976.
²³
MAROON, J.C.; KENNERDELL, J.S.: Lateral microsurgical approach to intraorbital tumors. J Neurosurg 44: 556-561, 1976.
²⁴
MAROON, J.C.; KENNERDELL, J.S.; ABLA, A.: The diagnonsis and treatment of orbital tumor. Clin Neurosurg 485-498, 1988.
²⁵
MILLER, N.R.: Neuro-Ophthalmology of orbital tumors. Clin Neurosurg 459-473, 1984.
²⁶
MILSTEIN, B.A.; MORRETIN, L.B.: Report of a case of sphenoid fissure syndrome studied by orbital venography. Am Ophthalmol 72: 60-603, 1971.
²⁷
MOSELEY, I.F.; SANDERS, M.D.: Computerized tomography in neuro-ophthalmology. Chapman and Hall Ltda., 1982.
²⁸
MOTTOW, L.S.; JAKOBIEC, F.A.: Idiopathic inflamatory orbital pseudotumor in childhood. Arch Ophthalmol 96: 1410-1417, 1978.
²⁹
NICOLE, S.; PALMA, L.; GIUFFRÉ, R.: Orbital pseudotumor. J Neurosurg Sci 26: 57-60, 1982.
³⁰
NUGENT, R.A.; ROOTMAN, J.; ROBERTSON, W.D.: Acute orbital pseudotumors: classification and CT features. AJR 137: 957-962, 1981.
³¹
OSSOINIG, K.C.: Standardized echography: basic principles, clinical applications and results. Int Ophthalmol Clin 19(4): 127-210, 1979.
³²
PEETERS, H.J.F.; Van HEERDE, P.; FELTKAMP; UROOM, T.H.M.: Pseudotumors a clinical concept. Documenta Ophthalmologica 52: 387-391, 1982.
³³
REESE, A.B.: Tumors of the eye. 2 ed. New York, Harper & Row Publ., 1963.
³⁴
RONTAL, E.M.; GUILFORD, F.T.: Surgical anatomy of the orbit. Ann Otol 88: 382-386, 1979.
³⁵
SILVA, D.: Orbital tumors. Am J Ophthalmol 63(3): 318-339, 1968.
³⁶
SPENCER, W.H.: Ophthalmic pathology: An athlas and textbook, 3ª ed. Philadelphia. WB Sanders CO. 1985.
³⁷
TAVERAS, J.M.; WOOD, E.H.: Diagnostic Neuroradiology. 12ª ed. Willians & Wilkins Company Baltimore, 1977.
³⁸
TOLOSA, E.: Periarterit lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatry 17: 300-302, 1954.
³⁹
TROKEL, S.L.; HILAL, S.K.: Recognition and differential diagnosis of enlarged extraocular muscles in cmputed tomography. Am J Ophthalmol 87: 503-512, 1979.
⁴⁰
WENDE, S.; AULICH, A.; NOVER, A.: Computed tomography of orbita lesions. A cooperative study of 210 cases. Neuroradiology 13: 123-134, 1977.

Datas de Publicação

Publicação nesta coleção
Jan-Feb 1990

Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.

[1] ¹
ABRAMOVITZ, J.N.; KOSDON, L.D.; SUTULA, F.: Sclerosing orbital pseudotumor. Neurosurgery 12 (4): 463-468, 1983.

[2] ²
BERNARDINO, M.E.; ZIMMERMAN, R.D.; CITRIN, C.M.: Scleral thickning: a CT sign of orbital pseudotumor. AJR 129: 703-706, 1977.

[3] ³
BLODI, F.C.; GASS, J.D.M.: Inflamatory pseudotumor of the orbit. Tr Am Acad Ophthalmol Otolaryng 71: 303-323, 1967.

[4] ⁴
BRIHAYE, J.: Neurosurgical approaches to orbital tumors. Adv. Tech Stand Neurosurg 3: 103-121, 1976.

[5] ⁵
BYRNE, S.F.; GLASER, J.S.: Orbital tissue differentiation with standardized echography. Ophthalmology 90: 1071-1090, 1983.

[6] ⁶
CHAVIS, R.M.; GARNER, A.; WRIGHT, J.E.: Inflamatory orbital pseudotumor. Arch Ophthalmol 96: 1817-1822, 1972.

[7] ⁷
DIAZ, A.G.; LOPEZ, A.S.; PORRES, A.M.J.: Orbital pseudotumor. Ophthalmologica (Basel) 8: 181-187, 1980.

[8] ⁸
DUANE, T.D.: Clinical Ophthalmology, vol 2: Neuro-Ophthalmology. Hogerstown M.D., Horper Row Publish Inc, 1983.

[9] ⁹
DUKE-ELDER - Textbook of Ophthalmology. Henry Kimpton, London vol XIII, 1974.

[10] ¹⁰
EDWARDS, M.K.; ZAUEL, D.W.; GILMOR, R.L.: Invasive orbital pseudotumor- CT demonstration of extension beyond orbit. Neuroradiology 23: 215-217, 1982.

[11] ¹¹
GARNER, A.: Pathology of pseudotumors of the orbit. A review. J Clin Pathol 26: 639-648, 1973.

[12] ¹²
HAMMERSCHLAG, S.B.; HESSELINK, J.R.; WEBER, A.C.: Computed tomography of the eye and orbit. Applecton-Century-Crofts/Norwalk, Connecticut, 1983.

[13] ¹³
HARR, D.L.; QUENCER, R.M.; ABRAMS, G.W.: Computed tomography and ultrasound in the evaluation of orbital infection and pseudotumor. Radiolology: 395-401, 1982.

[14] ¹⁴
HESSELINK, J.R.; DAVIS, K.R.; ROBERSON, G.H.: Computed tomography of in the lacrimal gland region. Radiology 131: 143-147, 1979.

[15] ¹⁵
HENDERSON, J.W.: Orbital tumors. Philadelphia, W.B. Saunders Co., 1973.

[16] ¹⁶
HOUSEPIAN, E.M.; TROKEL, S.L.; JAKOBIEC, F.O.: Tumors of the orbit in: Neurological Surgery, Ed. 2, Vol 5, edited by J.R. Youmans, 3024-3064, Philadelphia, W.B. Saunders, 1982.

[17] ¹⁷
HUNT, W.E.: Tolosa-Huntsyndrome: one cause of painful ophthalmoplegia. J. Neurosurg 4: 54-549, 1976.

[18] ¹⁸
HUNT, W.E.; MEAGHER, J.N.; LEFEVER, H.E.: Painful ophthalmoplegia. Neurology (Minneop) 11: 56-62, 1961.

[19] ¹⁹
INGALLS, R.C.: Tumors of the orbit and allied pseudotumors. Springfield II: Charles C Thomas Publisher, 24-30, 1953.

[20] ²⁰
JANE, J.A.; PARK, T.S.; POBERISKIR, L.H.: The supraorbital approach: technical note. Neurosurgery 11: 537 -540, 1982.

[21] ²¹
KENNERDELL, J.S.; DEKKER, A.; JOHNSON, B.L.: Fine needle aspiration biopsy. Arch Ophthalmol 97: 1315-1317, 1979.

[22] ²²
MAROON, J.C.; KENNERDELL, J.S.: Microsurgical approach to orbital tumors. Clin Neurosurg capítulo 18, 1976.

[23] ²³
MAROON, J.C.; KENNERDELL, J.S.: Lateral microsurgical approach to intraorbital tumors. J Neurosurg 44: 556-561, 1976.

[24] ²⁴
MAROON, J.C.; KENNERDELL, J.S.; ABLA, A.: The diagnonsis and treatment of orbital tumor. Clin Neurosurg 485-498, 1988.

[25] ²⁵
MILLER, N.R.: Neuro-Ophthalmology of orbital tumors. Clin Neurosurg 459-473, 1984.

[26] ²⁶
MILSTEIN, B.A.; MORRETIN, L.B.: Report of a case of sphenoid fissure syndrome studied by orbital venography. Am Ophthalmol 72: 60-603, 1971.

[27] ²⁷
MOSELEY, I.F.; SANDERS, M.D.: Computerized tomography in neuro-ophthalmology. Chapman and Hall Ltda., 1982.

[28] ²⁸
MOTTOW, L.S.; JAKOBIEC, F.A.: Idiopathic inflamatory orbital pseudotumor in childhood. Arch Ophthalmol 96: 1410-1417, 1978.

[29] ²⁹
NICOLE, S.; PALMA, L.; GIUFFRÉ, R.: Orbital pseudotumor. J Neurosurg Sci 26: 57-60, 1982.

[30] ³⁰
NUGENT, R.A.; ROOTMAN, J.; ROBERTSON, W.D.: Acute orbital pseudotumors: classification and CT features. AJR 137: 957-962, 1981.

[31] ³¹
OSSOINIG, K.C.: Standardized echography: basic principles, clinical applications and results. Int Ophthalmol Clin 19(4): 127-210, 1979.

[32] ³²
PEETERS, H.J.F.; Van HEERDE, P.; FELTKAMP; UROOM, T.H.M.: Pseudotumors a clinical concept. Documenta Ophthalmologica 52: 387-391, 1982.

[33] ³³
REESE, A.B.: Tumors of the eye. 2 ed. New York, Harper & Row Publ., 1963.

[34] ³⁴
RONTAL, E.M.; GUILFORD, F.T.: Surgical anatomy of the orbit. Ann Otol 88: 382-386, 1979.

[35] ³⁵
SILVA, D.: Orbital tumors. Am J Ophthalmol 63(3): 318-339, 1968.

[36] ³⁶
SPENCER, W.H.: Ophthalmic pathology: An athlas and textbook, 3ª ed. Philadelphia. WB Sanders CO. 1985.

[37] ³⁷
TAVERAS, J.M.; WOOD, E.H.: Diagnostic Neuroradiology. 12ª ed. Willians & Wilkins Company Baltimore, 1977.

[38] ³⁸
TOLOSA, E.: Periarterit lesions of the carotid siphon with the clinical features of a carotid infraclinoidal aneurysm. J Neurol Neurosurg Psychiatry 17: 300-302, 1954.

[39] ³⁹
TROKEL, S.L.; HILAL, S.K.: Recognition and differential diagnosis of enlarged extraocular muscles in cmputed tomography. Am J Ophthalmol 87: 503-512, 1979.

[40] ⁴⁰
WENDE, S.; AULICH, A.; NOVER, A.: Computed tomography of orbita lesions. A cooperative study of 210 cases. Neuroradiology 13: 123-134, 1977.

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