Idiopathic orbital pseudotumour


Authors: A. Meleková 1;  E. Ehler 1;  H. Adámková 2;  L. Ungermann 3
Authors‘ workplace: Pardubická krajská nemocnice a. s. Neurologická klinika Přednosta: doc. MUDr. Edvard Ehler, CSc. 1;  Oční oddělení Přednosta: doc. MUDr. Jan Novák, CSc. 2;  Radiodiagnostické oddělení Přednosta: MUDr. Leoš Ungermann, Ph. D. 3
Published in: Prakt. Lék. 2014; 94(6): 279-281
Category: Case Report

Overview

Rapidly progressive movement disorder of the eye bulb associated with pain is a rare clinical presentation, which requires prompt diagnostics and therapy. Painful ophtalmoplegia appears in case of the lesion of cavernous sinus, extraocular muscles or retrobulbar tissue, but could be caused also by the damage of the brainstem. Although modern imaging modalities such as CT, MRI and neurophysiological examination are available, the diagnostic process is not simple. Moreover the prognosis is not often favourable. Both patients admitted at our department, suffering from painful ophtalmoplegia, required complicated diagnostic process, but had favourable outcome, which was a proposal for our publication.

Keywords:
orbital pseudotumour – ptosis – painful ophtalmoplegia – eye movement disorder


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Labels
General practitioner for children and adolescents General practitioner for adults
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