A case of sinusitis presenting with spheno-cavernous syndrome: discussion of the differential diagnosis.
A 60 year old gentleman presented with a left spheno-cavernous syndrome resulting in impaired ocular motility, proptosis and visual loss in an otherwise clinically quiet eye. The history led to a clinical suspicion of posterior ethmoiditis, which was confirmed on C.T. scanning. Surgical drainage and antibiotic treatment resolved the symptoms, but visual impairment persisted. The differential diagnosis and management of spheno-cavernous syndrome is discussed in context with this atypical presentation of orbital cellulitis.
Watson
N J
NJ
Department of Ophthalmology, Medical School, University of Aberdeen, Foresterhill.
Dick
A D
AD
Hutchinson
C H
CH
D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D015521:Ethmoid Sinusitis / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000175:diagnosis* / Q000628:therapy; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000628:therapy; D009901:Optic Nerve Diseases / Q000175:diagnosis* / Q000628:therapy; D009916:Orbital Diseases / Q000175:diagnosis* / Q000628:therapy; D015524:Sphenoid Sinusitis / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography