Bare orbit sign (sphenoid wing)

Dr Craig Hacking and Dr Praveen Jha et al.

The bare orbit sign, is described as a characteristic appearance of the orbit, seen when the innominate line is absent. The innominate line is a projection of the greater wing of the sphenoid, and its absence or destruction is responsible for this appearance.

It is the classical frontal radiograph sign of neurofibromatosis type I (NF1). In addition to the bare orbit sign, it is accompanied by an egg-shaped enlargement of the anterior orbital rim, bony defect in the posterior orbit and anteroposterior enlargement of the middle cranial fossa

The bare orbit sign may also be seen in destruction of the sphenoid wing, most commonly due to neuroblastoma metastases.

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Article information

rID: 17587
Section: Signs
Tag: signs
Synonyms or Alternate Spellings:
  • Bare orbit
  • Empty orbit

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