Orbital Roof Encephalocele Mimicking a Destructive Neoplasm

Adel H. Alsuhaibani, Patrick W. Hitchon, Wendy R.K. Smoker, Andrew G. Lee, Jeffrey A. Nerad

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The purpose of this case report is to report an orbital roof encephalocele mimicking a destructive orbital neoplasm. Orbital roof encephalocele is uncommon but can mimic neoplasm. One potential mechanism for the orbital roof destruction is a post-traumatic "growing orbital roof fracture." The growing fracture has been reported mostly in children but can occur in adults. Alternative potential etiologies for the encephalocele are discussed, including Gorham syndrome. Orbital roof encephalocele is uncommon in adults, and the findings can superficially resemble an orbital neoplasm. Radiographic and clinical features that might suggest the correct diagnosis include a prior history of trauma, overlying frontal lobe encephalomalacia without significant mass effect or edema, and an orbital roof defect. The "growing fracture" mechanism may be a potential explanation for the orbital roof destruction in some cases.

Original languageEnglish (US)
Pages (from-to)e121-e123
JournalOphthalmic Plastic and Reconstructive Surgery
Volume27
Issue number5
DOIs
StatePublished - Jan 1 2011

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

Fingerprint Dive into the research topics of 'Orbital Roof Encephalocele Mimicking a Destructive Neoplasm'. Together they form a unique fingerprint.

Cite this