Idiopathic orbital inflammation (orbital inflammatory pseudotumour): an unusual cause of transient ischaemic attack.
A patient with idiopathic inflammation of the right orbit, established by biopsy, developed episodes of transient left sensorimotor hemiparesis. Neuroimaging showed intracranial extension of the disease with pronounced narrowing of the right internal carotid artery in its intracavernous portion. Oral cyclophosphamide induced gradual improvement. Transient ischaemic attack is rarely found in association with orbital disease and indicates possible intracranial extension.
Borruat
F X
FX
Hôital Ophtalmique Jules Gonin, Lausanne, Switzerland.
Vuilleumier
P
P
Ducrey
N
N
Fankhauser
H
H
Janzer
R C
RC
Regli
F
F
D000284:Administration, Oral; D000328:Adult; D001921:Brain / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000503:physiopathology; D003520:Cyclophosphamide / Q000008:administration & dosage / Q000627:therapeutic use; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D018810:Magnetic Resonance Angiography; D008297:Male; D009900:Optic Nerve / Q000503:physiopathology; D009915:Orbit / Q000503:physiopathology; D016727:Orbital Pseudotumor / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity
D003520:Cyclophosphamide