We experienced one case of lateral orbitotomy(Berke's operation) in intraorbital tumor. We performed diagnostic studies for tumor location and vasculature in relation to eyeball and optic nerve, ie, orbital CT and orbital venogram. Tumor mass located in superior lateral region of orbit. Tumor mass was removed completely and successfully through 35 mm lateral skin incision.
Optic Nerve ; Orbit ; Skin

Cavernous hemangioma may occur in any region of the brain and very rarely in the extracerebral middle fossa. We present a case of the cavernous hemangioma in the middle fossa. A 37-year-old male was admitted to our department with visual impairment of the right eye and headache. On admission ophthalmological findings were abducens palsy, mild exophthalmos and almost visual loss in the right eye. Other neurological findings were within normal limits. Radiological findings were erosive change of sellar turcica, sphenoid ridge and petrosal bone in right side and thinning temporal squama bone on the simple skull series. Right carotid angiography showed medial and upward shifting of middle cerebral artery with avascular mass lesion at infrasylvian area. Computed Scan disclosed well localizing homogenous high density in the right middle fossa extending to pituitary fossa medially and to posterior fossa through erosion area of the medial petrosal bone. We performed subtotal removal of tumor because of profuse bleeding and confirmed cavenous hemangioma pathologically.
Adult ; Angiography ; Brain ; Exophthalmos ; Headache ; Hemangioma ; Hemangioma, Cavernous* ; Hemorrhage ; Humans ; Male ; Middle Cerebral Artery ; Paralysis ; Skull ; Vision Disorders