Isolated enophthalmos: an uncommon gateway to orbital tumors in pediatrics: 9?month-old female presenting with isolated enophthalmos as the unique sign of a metastatic orbital tumor: a case report

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• 作者：Sara Touhami ; Emmanuel Bui-Quoc
• 关键词：Enophthalmos ; Exophthalmos ; Proptosis ; Infantile orbital tumors ; Neuroblastoma ; Pediatric tumors
• 刊名：BMC Pediatrics
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：567 KB
• 参考文献：1. Novitskaya, E, Rene, C (2013) Enophthalmos as a sign of metastatic breast carcinoma. CMAJ 185: pp. 1159 CrossRef
  2. George, JL, Marchal, JC (2010) Les tumeurs d’orbite de l’enfant: examen clinique, paraclinique, diagnostic et particularités évolutives. Neurochirurgie 56: pp. 244-248 CrossRef
  3. De Keyser, J, Bruyland, M, de Greve, J, Bernheim, J, Ebinger, G (1985) Enophthalmos as a rare manifestation of metastatic orbital involvement. Postgrad Med J 61: pp. 149-152 CrossRef
  4. Cline, RA, Rootman, J (1984) Enophthalmos: a clinical review. Ophthalmology 91: pp. 229-237 CrossRef
  5. Larmande, A, Rossazza, C (1979) Métastases orbitaires enophtalmiantes. Ophthalmologica 179: pp. 25-31 CrossRef
  6. Yip, CC, Gonzalez-Candial, M, Jain, A, Goldberg, RA, McCann, JD (2005) Lagophthalmos in enophthalmic eyes. Br J Ophthalmol 89: pp. 676-678 CrossRef
  7. MacFaul, PA Lacrimal, Orbital and Paraorbital Diseases. In: Duke-Elder, S eds. (1974) System of Ophthalmology, Vol XIII, The Ocular Adnexa, Part II.
  8. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2431/14/237/prepub
  
• 刊物主题：Pediatrics; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2431

文摘

Background If extra-axial proptosis is by far the most common symptom of infantile malignant orbital tumors, enophthalmos is a rare and undocumented sign. We report the first case of a pediatric metastatic orbital tumor revealed by enophthalmos alone. Case presentation A 9-month-old girl was diagnosed with isolated right-sided enophthalmos. An orbital tumor was suspected and computed tomography undertaken showing osteolysis and periosteal reaction of orbital walls, malar bones and zygomatic arches. A Thoracic- abdominal CT scan confirmed a stage-4 neuroblastoma. Conclusion Enophthalmos can be the sole symptom of an orbital tumor and should lead to immediate imaging assessment. This association is not well known in pediatrics but is relevant to insure the best prognosis.