Orbitofrontal cholesterol granuloma: case report and review of the literature

Lorenzo Ugga, Salvatore Stilo, Pasquale Napolitano, Elia Guadagno, Adriana Iuliano, Maria Laura del Basso de Caro, Andrea Elefante


Cholesterol granuloma of the orbit is an uncommon condition. It affects almost exclusively the frontal bone in the supero-temporal quadrant of the orbit. It is an osteolytic lesion well-circumscribed by a fibrous capsule, with a granulomatous reaction surrounding cholesterol crystals and old hemorrhage. We report the case of a patient whose clinical and radiological findings were sufficient to make a correct diagnosis.