Facial nerve palsy as an unusual presentation of orbital apex syndrome

Autor:	Wong Zhen Yu, Ashiya Rafiq, Rafiqahmed Abdulkarim Vasiwala, Irfan Mohamad, Tee Chen Giap
Rok vydání:	2021
Předmět:	business.industry Pediatrics Perinatology and Child Health Facial nerve palsy Medicine Anatomy Presentation (obstetrics) Family Practice business eye diseases Orbital apex
Zdroj:	Pediatria i Medycyna Rodzinna. 17:176-179
ISSN:	2451-0742 1734-1531
DOI:	10.15557/pimr.2021.0028
Popis:	Clinical cases of orbital apex syndrome are rare and most commonly manifested as a complication of fungal sinusitis, mainly in immunocompromised and poorly controlled diabetic patients. Rhino-orbital mucormycosis is a rare opportunistic, aggressive and fatal infection caused by mucor. The complex presentation of orbital apex syndrome not only poses a diagnostic challenge but also demands a multidisciplinary approach in patient management. Facial nerve palsy is an unusual presentation in orbital apex syndrome. We report the case of a 64-year-old diabetic patient presenting with ophthalmoplegia and visual loss associated with facial nerve palsy. Prompt ophthalmologic and otolaryngologic intervention with imaging and histologic confirmation, followed by early initiation of antifungal and antimicrobial therapy, were integral to preventing further complications, and reducing morbidity and mortality.
Databáze:	OpenAIRE
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