Non-Hodgkin Lenfoma Olgusunda Bilateral İzole Eş Zamanlı Superior Oftalmik Ven Trombozu

Yıl 2021, Cilt: 8 Sayı: 3, 220 - 221, 28.12.2021

Bünyamin Güney , Murat Yunus Özdemir , İbrahim Yeniçeri

https://doi.org/10.47572/muskutd.667792

Öz

Superior oftalmik ven trombozu (SOVT) nadir görülen bir patoloji olup etyolojisinde hiperkoagülasyon durumları, enfeksiyöz hastalıklar (enfeksiyöz sinüzit, orbital selülit), enflamatuar hastalıklar (sistemik lupus eritematozus, Behçet sendromu, sarkoidoz vb), neoplazmlar (lösemi, lenfoma, menenjiom), travma ve karotis-kavernöz fistül gibi durumlar rol oynar. Bilateral eş zamanlı gelişen SOVT ise çok nadir görülen ve erken tanı konulup tedavi edilmesi gereken bir durumdur. Tanı ve etyolojik nedenin belirlenmesinde manyetik rezonans görüntüleme (MRG) ve manyetik rezonans anjiyografi (MRA) önemli radyolojik modalitelerdir. Biz bu makalede remisyonda Non Hodgkin Lenfoma (NHL) olgusunda her iki orbitada eş zamanlı gelişmiş subakut evre SOVT' nin MRG bulgularını sunuyoruz.

Anahtar Kelimeler

Bilateral Superior Oftalmik Ven Trombozu, Manyetik Rezonans Görüntüleme, Non-Hodgkin Lenfoma

Bilateral Isolated Simultaneous Superior Ophthalmic Vein Thrombosis in a Case of Non-Hodgkin Lymphoma

Öz

Superior ophthalmic vein thrombosis (SOVT) is a rare pathology. Etiological causes include hypercoagulation, infectious diseases (infectious sinusitis, orbital cellulitis), inflammatory diseases (systemic lupus erythematosus, Behcet's syndrome, sarcoidosis, etc.), neoplasms (leukemia, lymphoma, meningioma), trauma and carotid-cavernous fistula. Bilateral simultaneous SOVT is a very rare condition that requires early diagnosis and treatment. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) are important radiological modalities in diagnosis and identification of etiologic cause. In this article, we present the MRI findings of subacute stage SOVT developed simultaneously in both orbita in Non Hodkin Lymphoma (NHL) in remission. 

Anahtar Kelimeler

Bilateral superior ophthalmic vein thrombosis, Magnetic Resonance Imaging, Non-Hodgkin Lymphoma

Kaynakça

• 1. Shinder R, Oellers P, Esmaeli B et al. Superior ophthalmic vein thrombosis in a patient with chronic myeloid leukemia receiving antifibrinolytic and thrombopoietin receptor agonist therapy. J Ocul Pharmacol Ther. 2010;26(3):293–6.
• 2. Duke-Elder S. System of Ophthalmology. X. London, UK: Henry Kimpton; 1974. pp. 816–9.
• 3. Michaelides M, Aclimandos W. Bilateral superior ophthalmic vein thrombosis in a young woman. Acta Ophthalmol Scand. 2003;81(1):88–90.
• 4. Idrees Z, Dooley I, Jackson A et al. Simultaneous isolated bilateral superior orbital vein thrombosis as a presenting feature of antiphospholipid syndrome. Orbit. 2014;33(3):214–6.
• 5. Kumar S, Omar S, Kakarla VC. Bilateral isolated concurrent superior ophthalmic vein thrombosis in systemic lupus erythematosus. Int Med Case Rep J. 2015;8:181–3.
• 6. Lim LH, Scawn RL, Whipple KM ve ark. Spontaneous superior ophthalmic vein thrombosis: A rare entity with potentially devastating consequences. Eye (Lond) 2014;28(4):348–51.
• 7. Flaharty PM, Lieb WE, Sergott RC, Bosley TM, Savino PJ. Color Doppler Imaging. A New Noninvasive Technique to Diagnose and Monitor Carotid Cavernous Sinus Fistulas. Arch Ophthalmol. 1991;109(4):522-6.