Is exenteration helpful in invasive fungal sinusitis?
1 February 2019
| Claire Howard
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EYE - Neuro-ophthalmology
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Invasive fungal sinusitis, orbital exenteration, posterior ischaemic optic neuropathy
Invasive fungal sinusitis is a potentially lethal disease that causes painful orbital apex syndrome with ophthalmoplegia and visual loss. The mechanism of ophthalmoplegia and visual loss is not clear, and neither is the role of radical surgery-orbital exenteration. The authors...
Early diagnosis of pituitary apoplexy using combined MRI findings
1 April 2018
| Claire Howard
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EYE - Neuro-ophthalmology
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Pituitary apoplexy, pituitary ring sign, sphenoid sinus mucosal thickening
The author presents a literature review searching the terms ‘pituitary ring sign’ and ‘sphenoid sinus mucosal thickening’ in the context of pituitary apoplexy from 1990 until the present day. These two findings are both magnetic resonance imaging (MRI) signs of...
Treatment options for septic cavernous sinus thrombosis
1 April 2017
| Claire Howard
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EYE - Neuro-ophthalmology
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Cavernous sinus thrombosis, infection, treatment
Septic cavernous sinus thrombosis is a rare but serious complication of infection of the cavernous sinuses. Potential therapies include antibiotics, corticosteroids and anticoagulation, as well as surgical intervention for source control of the infection. The authors report that there is...
Resolution of idiopathic intracranial hypertension (IIH): case series
1 April 2017
| Claire Howard
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EYE - Neuro-ophthalmology
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Idiopathic intracranial hypertension, low-pressure headache, lumbar drain, lumbar puncture, transverse sinus stenting
The authors report the findings from 14 patients following treatment for idiopathic intracranial hypertension (IIH). All 14 patients experienced an immediate and sustained resolution of the IIH in the setting of prolonged cerebrospinal fluid (CSF) drainage at a rate greater...
A rare case of ophthalmic complications following allergic fungal sinusitis
1 February 2016
| Claire Howard
|
EYE - Neuro-ophthalmology
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Allergic fungal sinusitis, compressive optic neuropathy, magnetic resonance imaging
The authors present an unusual case report of a 32-year-old man with advanced allergic fungal sinusitis, presenting with severe bilateral visual loss and restricted ocular motility. On presentation he had an 18 month history of progressive nasal obstruction, as well...
