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Journal of Child Neurology
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Childhood Orbital Pseudotumor: Case Report and Literature Review

Dan Kitei, DO

Department of Neurology, University of Connecticut School of Medicine, Connecticut Children's Medical Center, Hartford, CT

Francis J. DiMario, Jr, MD

Department of Neurology, University of Connecticut School of Medicine, fdimari{at}ccmckids.org, Department of Pediatrics University of Connecticut School of Medicine, Farmington, Connecticut Children's Medical Center, Hartford, CT

Orbital pseudotumor, also known as idiopathic orbital inflammation, is a benign, idiopathic, noninfectious, and nonneoplastic clinical syndrome with an inflammatory mass within the orbit and no identifiable cause. This disease is rare in the pediatric population, especially in very young children. In this article, the authors describe a 2-year-old girl who was presented with right eye ptosis, near-complete ophthalmoplegia, decreased visual acuity, and pupillary changes. She recovered completely with high-dose steroid therapy. The authors review the literature and discuss the diagnostic implications and treatment strategies.

Key Words: orbital apex syndrome • orbital MR imaging • orbital CT imaging • orbital inflammatory disease • ophthalmoplegia • proptosis

This version was published on April 1, 2008

Journal of Child Neurology, Vol. 23, No. 4, 425-430 (2008)
DOI: 10.1177/0883073807309238
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