PMC2841376_01
Clinical picture showing multiple draining sinuses of scalp and left upper lid with dystopia
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The dystopia was gradually progressive, painless, with no diminution of vision or diplopia [Fig. 1].
Extraocular movements showing mild restriction in the left gaze
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The extraocular movements were within normal limits except for restriction in left gaze [Fig. 2].
Computerized Tomography Scan showing involvement of the Left eyelid, orbit with extradural extension
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CT of the orbit showed soft tissue swelling of the pre-septal area of the left upper eyelid with orbital involvement [Fig. 3].
Magnetic resonance imaging showing dystopia and increase in left orbit volume
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Magnetic resonance imaging (MRI) showed increased left orbital volume and evident dystopia [Fig. 4].
Histopathology showing eosinophilic granule exhibiting a Splendore-Hoeppli Phenomenon Stain: Hematoxylin and Eosin stain Magnification: (a) 10x, (b) 40x
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Inset shows an eosinophilic granule exhibiting a Splendore-Hoeppli phenomenon with a background of neutrophils [Fig. 5].