Orbital tuberculosis in childhood with intracranial extension: a case report.
Orbital tuberculosis in childhood with intracranial extension: a case report.
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DOI：
10.1186/1757-1626-3-38
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发表时间：
2010-01-28
期刊：
影响因子：
--
通讯作者：
Tuli N
中科院分区：
文献类型：
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作者：
Tuli N
儿科年龄段眼眶肿块的常见病因包括假瘤、淋巴瘤、血管瘤和皮样囊肿。眼眶结核很少见，尤其是在儿童中。我们报告一例 5 岁儿童因眼眶结核瘤而出现眼球突出和视力严重下降的病例。左眼眼部检查发现眼球突出，眼球向下和向前移位。视觉正在数靠近脸的手指。 CT 扫描显示左眼眶后内侧有一个锥外软组织肿块，伴有内直肌横向移位。在抗结核治疗中，在六个月的时间内观察到眼球突出消退，视力恢复，最后一次随访时左眼视力为 20/30。
The common causes of orbital masses in pediatric age group include pseudotumour, lymphomas, hemangioma and dermoid cyst. Orbital tuberculosis is rare especially in children. We report a case of 5 year old child who presented with proptosis and gross diminution of vision due to orbital tuberculoma. Ocular examination of the left eye revealed proptosis with the eyeball displaced downwards and forwards. Vision was counting finger close to face. CT Scan showed an extraconal soft tissue mass along posteromedial side of left orbit with lateral displacement of medial rectus muscle. On antitubercular treatment, proptosis regressed and visual recovery was observed over a period of six month vision, in the left eye at the last followup was 20/30.