Orbital apex syndrome due to cavernous hemangioma
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Orbital apex syndrome is characterized by the involvement of the 2,3,4 and 6th cranial nerves with the paralysis of ophtalmic branch of the 5th cranial nerve due to inflammatory, infectious, neoplastic, travmatic, vascular and sometimes iatrogenic reasons in the ophtalmic canal region. Biopsy from the resposible lesion can guide the tretment and it may be very informative.Altough the hemangiomas are the most common primary tumor of the orbit, cavernous hemangiomas as a cause of the ‘Orbital apex syndrome’ is very uncommon. Orbital Magnetic Resonance Imaging (MRI) is a very useful tool to detect the mass lesion in the orbit and for the distinctive diagnosis. Morbidity can be decresed with the early diagnosis and early surgical teratment.