25岁男性眼眶皮样囊肿破裂伪装为偏头痛。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Ashley M Maitland, Ryan E Wolf, Jason H Wong, Jose T Fernandez, Todd J Mondzelewski
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引用次数: 0

摘要

皮样囊肿是畸胎瘤的一种变体,由外胚层和中胚层组成,在儿童头皮和颅骨肿块中占很大比例。眼眶皮样囊肿是一种极为罕见的原发性眼眶肿瘤。我们提出一个25岁的现役男性的情况下,提出新发作偏头痛,眼痛在清醒,间歇性视力模糊。根据目前的临床实践指南,颅内影像学显示眼眶肿块。肿块成功切除,手术病理证实了眼眶皮样囊肿的诊断。我们检查这种临床表现作为一种方式,以加强初级保健临床实践指南。眼眶皮样囊肿是一种罕见的诊断,特别是在初级保健环境中,通常表现为相当微妙的症状。本病例为初级保健提供者和其他医生提供了一个例子,即在新发头痛或慢性头痛模式改变时,颅内成像的阈值要低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ruptured Orbital Dermoid Cyst Masked as a Migraine in a 25-Year-Old Male.

Dermoid cysts are a variation of teratoma made up of ectoderm and mesoderm and represent a large proportion of scalp and skull masses found in children. Orbital dermoid cysts are an exceedingly rare form of primary orbital tumors. We present a case of a 25-year-old active duty male presenting with new onset migraines, eye pain on waking, and intermittent blurred vision. According to current clinical practice guidelines, intracranial imaging was obtained, which revealed an orbital mass. The mass was successfully excised, and surgical pathology confirmed the diagnosis of an orbital dermoid cyst. We examine this clinical presentation as a way to reinforce primary care clinical practice guidelines. Orbital dermoid cysts are a rare diagnosis, especially in the primary care setting and typically present with symptoms that are often quite subtle. This case serves as an example to primary care providers and other physicians to have a low threshold for intracranial imaging in new-onset headaches or a change in the pattern of chronic headaches.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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