caa a22 4500 445851147 CHVBK 20180317145413.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10006-010-0232-y doi (NATIONALLICENCE)springer-10.1007/s10006-010-0232-y Uncommon presentation of an intradiploic orbital epidermoid tumor: case report [Elektronische Daten] [David Ormond, Ibrahim Omeis, John Abrahams] Purpose: Epidermoid tumors are uncommon entities that usually occur intradurally in the cerebellopontine angle and parasellar cisterns. The few cases that have been reported to occur in the intraorbital location involve patients in the first four decades of life. To our knowledge, an elderly person presenting with an orbital epidermoid tumor has never been reported. Methods: A 67-year-old man presented with left-sided headache and eye pain. He was found to have a hemorrhagic lesion eroding bone of the greater and lesser wings of the sphenoid that was compressing the frontal and temporal lobes and displacing the globe. Significant edema of the frontal lobe was noted. Results: Aggressive surgical excision was performed with cranioplasty and orbital reconstruction. Near resolution of the patient's proptosis and eye pain was achieved. Histologic analysis revealed the lesion to be an epidermoid tumor. Conclusions: Hemorrhage into a growing intradiploic orbital epidermoid and surrounding frontal lobe edema created an unusual presentation of this rarely occurring entity in an elderly man. Surgical excision allowed appropriate histologic diagnosis and resolution of symptoms. Epidermoid tumor is a rare but possible entity in the differential diagnosis of elderly patients presenting with acute ocular pain and proptosis. Springer-Verlag, 2010 Elderly patient nationallicence Intracranial extension nationallicence Intraorbital epidermoid nationallicence Proptosis nationallicence Ormond David Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut Omeis Ibrahim Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut Abrahams John Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut Oral and Maxillofacial Surgery Springer-Verlag 15/3(2011-09-01), 165-167 1865-1550 15:3<165 2011 15 10006 https://doi.org/10.1007/s10006-010-0232-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10006-010-0232-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ormond David Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut NATIONALLICENCE 700 1- Omeis Ibrahim Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut NATIONALLICENCE 700 1- Abrahams John Department of Neurosurgery, New York Medical College, Munger Pavilion, 3rd Floor Valhalla, 10595, New York, NY, USA aut NATIONALLICENCE 773 0- Oral and Maxillofacial Surgery Springer-Verlag 15/3(2011-09-01), 165-167 1865-1550 15:3<165 2011 15 10006 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer