Elusively reaching the apex
Autor: | Luke Halliday, Paul Ikgan Sia, Dinesh Selva, Bobby S. Korn |
---|---|
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Frontal nerve Lesion 03 medical and health sciences 0302 clinical medicine Biopsy Humans Medicine 030223 otorhinolaryngology medicine.cranial_nerve Diplopia medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged Supraorbital nerve Ophthalmology medicine.anatomical_structure Cavernous sinus Carcinoma Squamous Cell 030221 ophthalmology & optometry Orbital Neoplasms Cavernous Sinus Radiology medicine.symptom business Orbit (anatomy) |
Zdroj: | Survey of Ophthalmology. 64:584-587 |
ISSN: | 0039-6257 |
DOI: | 10.1016/j.survophthal.2017.12.002 |
Popis: | A 64-year-old man presented with a 3-month history of diplopia and left-sided proptosis. Examination was significant for impairment of his left second, third, fourth, fifth, sixth, and seventh cranial nerves. Magnetic resonance imaging revealed a left orbital apex and cavernous sinus lesion. However, subtle thickening of his left frontal and supraorbital nerve was not identified until later. A trial of steroids provided minimal effect. Biopsy of the lesion showed a well-differentiated squamous cell carcinoma. The patient was subsequently managed with palliative radiotherapy. |
Databáze: | OpenAIRE |
Externí odkaz: |