helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2022-15-3-136-140helmholtzeyeinstitute-1062Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУFOR OPHTHALMOLOGY PRACTITIONERSРецидивирующая орбитокраниальная кавернозная гемангиома. Клиническое наблюдение, обзор литературыRecurrent cavernous orbitocranial hemangioma. A clinical case and a literature reviewСероваН. К.SerovaN. K.

Наталия Константиновна Серова — доктор медицинских наук, профессор, руководитель группы офтальмологических исследований.

Ул. 4-я Тверская-Ямская,д. 16, Москва, 125047

Nataliya K. Serova — Dr. of Med. Sci., professor, head of the ophthalmology department.

16, 4th Tverskaya-Yamskaya St., Moscow, 125047

ТруноваА. П.TrunovaA. P.

Анна Павловна Трунова — аспирант-офтальмолог.

Ул. 4-я Тверская-Ямская,д. 16, Москва, 125047

Anna P. Trunova — PhD student, ophthalmologist.

16, 4th Tverskaya-Yamskaya St., Moscow, 125047

sergeevann94@mail.ruГригорьеваН. Н.GrigorevaN. N.

Надежда Николаевна Григорьева — кандидат медицинских наук, врач-нейроофтальмолог.

Ул. 4-я Тверская-Ямская,д. 16, Москва, 125047

Nadezhda N. Grigoreva — Cand. of Med. Sci., neuro-ophthalmologist.

16, 4th Tverskaya-Yamskaya St., Moscow, 125047

ЧерекаевВ. А.CherkaevV. A.

Василий Алексеевич Черекаев — доктор медицинских наук, профессор, заведующий 6-м нейрохирургическим отделением.

Ул. 4-я Тверская-Ямская,д. 16, Москва, 125047

Vasily A. Cherekaev — Dr. of Med. Sci., professor, head of the 6th neurosurgical department.

16, 4th Tverskaya-Yamskaya St., Moscow, 125047

НазаровВ. В.NazarovV. V.

Вячеслав Вячеславович Назаров — кандидат медицинских наук, врач-нейрохирург.

Ул. 4-я Тверская-Ямская,д. 16, Москва, 125047

Vyacheslav V. Nazarov — Cand. of Med. Sci., neurosurgeon.

16, 4th Tverskaya-Yamskaya St., Moscow, 125047

ФГАУ «НМИЦ нейрохирургии им. акад. Н.Н. Бурденко» Минздрава РоссииРоссияN.N. Burdenko National Scientific and Practical Center for NeurosurgeryRussian Federation202224092022153136140Copyright © Серова Н.К., Трунова А.П., Григорьева Н.Н., Черекаев В.А., Назаров В.В., 20222022Серова Н.К., Трунова А.П., Григорьева Н.Н., Черекаев В.А., Назаров В.В.Serova N.K., Trunova A.P., Grigoreva N.N., Cherkaev V.A., Nazarov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/1062

Кавернозная гемангиома орбиты (КГО) — сосудистое объемное образование, развивающееся в результате аномальной закладки сосудистой системы и встречающееся у 70% пациентов с сосудистыми новообразованиями орбиты. КГО чаще относят к венозной мальформации с медленным кровотоком, нежели к доброкачественной опухоли. Крайне редко КГО распространяется в полость черепа, как правило, через верхнюю глазничную щель и зрительный канал. Частота рецидивов КГО после полного ее иссечения низкая, однако достоверных сведений относительно этого нет. Полагают, что рецидив КГО после резекции может происходить в 3 случаях: продолженный рост не полностью удаленной опухоли, рост недиагностированного объемного образования и, наконец, появление новой опухоли. Цель работы — демонстрация клинического наблюдения неоднократно рецидивирующей орбитокраниальной кавернозной гемангиомы. Представленное клиническое наблюдение демонстрирует неоднократное рецидивирование КГО после неполного ее удаления. Это проявлялось экзофтальмом и умеренно выраженными глазодвигательными нарушениями. Особенностью клинического наблюдения также является факт распространения КГО в полость черепа и сочетание с кавернозной гемангиомой структуры головного мозга.

Cavernous hemangioma of the orbit (CHO) is a vascular space-occupying lesion that develops as a result of an abnormal anlage of the vascular system and occurs in 70% of patients with vascular neoplasms of the orbit. CHO is more often considered as a venous malformation with slow blood flow, rather than a benign tumor. Very rarely CHO spreads into the cranial cavity, usually through the upper orbital fissure and the optic canal. The recurrence of CHO after its complete removal is low, however no reliable data are available. It is supposed that CHO relapse can occur in three cases: the continued growth of an incompletely removed tumor, growth of an undiagnosed space-occupying formation, and the emergence of a new tumor. The purpose of the study is to present a clinical case of a multiple recurrence of orbitocranial cavernous hemangioma. The clinical case demonstrates such a recurrence after an incomplete CHO removal, which was manifested by exophthalmos and moderate oculomotor disorders. Special features of the clinical case also include CHO spread into the cranial cavity accompanied by a cavernous hemangioma of the brain structure.

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The authors declare that there are no conflicts of interest present.