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Idiopathic Granulomatous Orbital Inflammation with Right Frontal Nerve Involvement: A Case Report.

ABSTRACT:

Introduction

Idiopathic granulomatous orbital inflammation is a rare subtype of orbital inflammatory disease, and frontal nerve involvement has not been previously described.

Case presentation

This is a case of a 75-year-old female who presented with a 4-week history of a right orbital mass, scalp dysaesthesia, and ptosis. Magnetic resonance imaging of the orbits confirmed a right supraorbital mass originating from the lacrimal gland with frontal nerve enlargement. Biopsy showed non-caseating granulomatous inflammation.

Conclusion

The patient was treated with an intralesional triamcinolone injection and oral prednisolone and will continue to be monitored for development of systemic sarcoidosis.

SUBMITTER: Pietris J

PROVIDER: S-EPMC10691829 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature

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Idiopathic Granulomatous Orbital Inflammation with Right Frontal Nerve Involvement: A Case Report.

Pietris James J Tong Jessica Y JY Selva Dinesh D

Case reports in ophthalmology 20230101 1

<h4>Introduction</h4>Idiopathic granulomatous orbital inflammation is a rare subtype of orbital inflammatory disease, and frontal nerve involvement has not been previously described.<h4>Case presentation</h4>This is a case of a 75-year-old female who presented with a 4-week history of a right orbital mass, scalp dysaesthesia, and ptosis. Magnetic resonance imaging of the orbits confirmed a right supraorbital mass originating from the lacrimal gland with frontal nerve enlargement. Biopsy showed n ...[more]

PMID: 38046989

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