Intracranial extension and bone destruction in orbital pseudotumor
L. P. Frohman, M. J. Kupersmith, J. Lang, D. Reede, R. T. Bergeron, S. Aleksic and S. Trasi
Three cases of surgically proved pseudotumor of the orbital apex with
intracranial extension occurred. All demonstrated bony destruction. Varying
degrees of ophthalmoplegia and visual loss were present in all three.
Previous computed tomographic descriptions of the patterns of orbital
pseudotumor have not included bone destruction. Further, intracranial
extension has been reported in only one patient. These three cases are
reported to emphasize the fact that while these manifestations may be rare,
it is appropriate to include orbital pseudotumor in the differential
diagnosis of orbital apex lesions that are associated with both bone
destruction and/or intracranial extension.
