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[Intraorbital extraocular Langerhans' cell granuloma: primary surgical approach. Why? - case report]. / Granuloma de células de Langerhans intraorbitário extraocular: abordagem cirúrgica primária. Por quê? - Relato de caso.
Valentim Neto, João Guilherme; Schaurich, Cristina Góes.
Afiliação
  • Valentim Neto JG; Serviço de Neurocirurgia do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul - Porto Alegre (RS) - Brasil. jgvalentim@uol.com.br
Arq Bras Oftalmol ; 72(1): 91-4, 2009.
Article em Pt | MEDLINE | ID: mdl-19347130
We present a case in which a patient with intraorbital Langerhans' cell granuloma, with anatomical and functional skills compromised by intraorbital hypertension, which was treated with urgency orbitotomy by cranial approach. Male, two years-old, presented conjuntival proptosis, red eye, complete ophthalmoplegy, exophthalmos, with non-fotoreactive mydriasis and blepharoptosis of the right eye. Fundoscopy presented venous enlargement with optic disc edema. A cranial approach with orbitotomy was carried out, removed the lesion with total remission of clinical presentation and anatomic appearance as well. The handling of Langerhans' cell granuloma can vary from primary surgical approach as corticotherapy to chemotherapy and radiotherapy. In this case, the surgery was the first option due to the imminent risk of loss of visual function.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Orbitárias / Granuloma Eosinófilo Limite: Child, preschool / Humans / Male Idioma: Pt Revista: Arq Bras Oftalmol Ano de publicação: 2009 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Orbitárias / Granuloma Eosinófilo Limite: Child, preschool / Humans / Male Idioma: Pt Revista: Arq Bras Oftalmol Ano de publicação: 2009 Tipo de documento: Article País de publicação: Brasil