J Neurol Neurosurg Psychiatry 54:1009-1010 doi:10.1136/jnnp.54.11.1009
  • Research Article

Painful intraorbital meningiomas.

  1. S J Wroe,
  2. A J Thompson,
  3. W I McDonald
  1. Institute of Neurology, National Hospital for Nervous Diseases, London, UK.


      Three cases are reported of meningioma involving the orbital apex presenting with either progressive or episodic retroocular pain. In two cases pain was steroid responsive and in one of these patients this led to an initial diagnosis of orbital pseudotumour. Pain preceded visual loss and other symptoms by many months and these cases illustrate the importance of full investigation and where necessary surgical exploration in cases of apparent orbital inflammatory disease with an atypical or progressive course.