Pseudotumor inflamatorio idiopatico orbitario bilateral con extension intracraneana. Comunicacion de un caso / Bilateral idiopathic orbital inflammatory pseudotumor with intracranial extension. Case report

RESUMO

Objective: To describe a case of bilateral idiopathic orbital inflammatory pseudotumor with intracranial extension. Description a 46 years old female patient complaneid of right eye blurred vision and amaurosis since the past 9 months. Examination revealed right eye 7/10 visual acuity and exophthalmos; left eye amaurosis and optic atrophy CT scan and MRI showed a bilateral intraorbital and intracanal lesions with left intracranial extension. Intervention Through a left frontal approach the left intracranial extension eas removed and the optic nerve was decomprssed. Intraoperative biopsy revealed a linfoproliferative lesion. Surgery ended and definitive pathology was informed as an inflammatory pseudomotor. The patient received corticoids with a good response. Conclusion: The presence of bilateral intraorbital lesions with intracranial extension, should force us too think about inflammatory pseudotumors