Orbital Pseudotumor: Neurosurgical Perspective

Idiopathic orbital inflammation is the third most common orbital affection, characterized by a benign inflammatory process, which is neither infectious nor neoplastic and can affect any orbital tissue. A 31-year-old female patient was referred to neurosurgical evaluation due to left orbital pseudotu...

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Main Authors: Pedro Henrique Karpinski, Giovana S. Ceconello, Leonardo C. Welling
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2025-03-01
Series:Brazilian Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805011
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author Pedro Henrique Karpinski
Giovana S. Ceconello
Leonardo C. Welling
author_facet Pedro Henrique Karpinski
Giovana S. Ceconello
Leonardo C. Welling
author_sort Pedro Henrique Karpinski
collection DOAJ
description Idiopathic orbital inflammation is the third most common orbital affection, characterized by a benign inflammatory process, which is neither infectious nor neoplastic and can affect any orbital tissue. A 31-year-old female patient was referred to neurosurgical evaluation due to left orbital pseudotumor, which was nonresponsive to high doses of corticosteroid therapy. During the neurological examination, we identified reduced visual acuity, complete external ophthalmoplegia, ocular pain, and severe proptosis. A neurosurgical intervention with lateral orbitotomy was performed, with great pain relief. In the present case report, we discuss the disease and its natural course and call the attention of neurosurgeons to prompt intervention in selected cases.
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language English
publishDate 2025-03-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series Brazilian Neurosurgery
spelling doaj-art-db896a365e8c434abb4ec5f5546d2c6f2025-08-20T01:50:26ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222025-03-014401e56e5810.1055/s-0045-1805011Orbital Pseudotumor: Neurosurgical PerspectivePedro Henrique Karpinski0https://orcid.org/0009-0004-0598-9548Giovana S. Ceconello1Leonardo C. Welling2Department of Neurosurgery, School of Medicine, Universidade Estadual de Ponta Grossa, PR, BrazilSchool of Medicine, Universidade Federal do Mato Grosso do Sul, MS, BrazilDepartment of Neurosurgery, School of Medicine, Universidade Estadual de Ponta Grossa, PR, BrazilIdiopathic orbital inflammation is the third most common orbital affection, characterized by a benign inflammatory process, which is neither infectious nor neoplastic and can affect any orbital tissue. A 31-year-old female patient was referred to neurosurgical evaluation due to left orbital pseudotumor, which was nonresponsive to high doses of corticosteroid therapy. During the neurological examination, we identified reduced visual acuity, complete external ophthalmoplegia, ocular pain, and severe proptosis. A neurosurgical intervention with lateral orbitotomy was performed, with great pain relief. In the present case report, we discuss the disease and its natural course and call the attention of neurosurgeons to prompt intervention in selected cases.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805011orbitpseudotumorproptosisorbitotomyórbitapseudotumorproptoseorbitotomia
spellingShingle Pedro Henrique Karpinski
Giovana S. Ceconello
Leonardo C. Welling
Orbital Pseudotumor: Neurosurgical Perspective
Brazilian Neurosurgery
orbit
pseudotumor
proptosis
orbitotomy
órbita
pseudotumor
proptose
orbitotomia
title Orbital Pseudotumor: Neurosurgical Perspective
title_full Orbital Pseudotumor: Neurosurgical Perspective
title_fullStr Orbital Pseudotumor: Neurosurgical Perspective
title_full_unstemmed Orbital Pseudotumor: Neurosurgical Perspective
title_short Orbital Pseudotumor: Neurosurgical Perspective
title_sort orbital pseudotumor neurosurgical perspective
topic orbit
pseudotumor
proptosis
orbitotomy
órbita
pseudotumor
proptose
orbitotomia
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805011
work_keys_str_mv AT pedrohenriquekarpinski orbitalpseudotumorneurosurgicalperspective
AT giovanasceconello orbitalpseudotumorneurosurgicalperspective
AT leonardocwelling orbitalpseudotumorneurosurgicalperspective