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Neurofibromatosis (Kennerdell Case 19)

Neurofibromatosis (Kennerdell Case 19). John S. Kennerdell, MD Chair, Department of Ophthalmology Allegheny General Hospital Professor, Ophthalmology Drexel University College of Medicine.

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Neurofibromatosis (Kennerdell Case 19)

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  1. Neurofibromatosis (Kennerdell Case 19) John S. Kennerdell, MD Chair, Department of Ophthalmology Allegheny General Hospital Professor, Ophthalmology Drexel University College of Medicine

  2. A 10-year-old boy with neurofibromatosis with a progressively enlarging mass in the superior right upper lid causing ptosis and proptosis. TitleSlide 1/7

  3. MRI scan showing lesions in the medial and lateral portion of the superior right orbit. TitleSlide 2/7

  4. MRI showing the two lesions in the superior right orbit on coronal view. TitleSlide 3/7

  5. Right superior cranio-orbitotomy with whitish, worm-like lesions (inferior central on the photo) which are plexiform neurofibromas vaporized with the carbon dioxide laser. TitleSlide 4/7

  6. Postoperatively, with resolution of proptosis and ptosis. TitleSlide 5/7

  7. Post-operative coronal MRI scan showing essential eradication of the right superior orbital plexiform neurofibroma. TitleSlide 6/7

  8. Slide describing difficulties of treatment with neurofibromas resulting in the development of the use of the carbon dioxide laser to vaporize orbital neurofibromas. It is more efficient and less damaging than dissection of these lesions. TitleSlide 7/7

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