A Runny Nose (PowerPoint)

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Identifier walsh_2011_s4_c5_ppt
Title A Runny Nose (PowerPoint)
Creator Steven A. Newman, MD, University of Virginia School of Medicine
Subject Osteomyelitis; Ophthalmoplegia; Pterygopalatine Fossa; Sphenoid Sinus; Scotoma; Enterobacteriaceae Infections; Morganella
History A 78-year old male with a 4-week history of left eye droop and decreased vision. Previous history significant for resection of left turbinate and cauterization of the nose.
Pathology Inflammatory cells with bony erosion in the orbital apex extending into the sphenoid sinus and pterygoid maxillary area.
Disease/Diagnosis Osteomyelitis of the spheno-palatine area with extension to the orbital apex
Clinical VA: 20/25 OD, HM OS; Full ocular motility OD; Complete ophthalmoplegia OS
Presenting Symptom Decreased vision with droop OS
Neuroimaging CT; MRI
Treatment Anti-infective agents
Date 2011-02-05
References 1. Babu RP, Todor R, Kasoff SS. Pott's puffy tumor: the forgotten entity. Case report. J Neurosurg 84: 110-112. 2. Bergin DJ, Wright JE. Orbital cellulitis. BR J Ophthalmol. 1986; 70: 174-178. 3. El-Toukhy, Szal M, Levine MR, Levine HL. Osteomyelitis of the Orbit. Ophthalmic Plastic and Reconstructive Surgery. 1997; 13: 68-71. 4. Kapoor S, Kapoor MS, Sood GC. Osteomyelitis of orbital bones. J Pediatr Ophthalmol. 1977; 14: 171-175. 5. Lillie HT. Osteomyelitis of the maxilla secondary to suppurative maxillary sinusitis. Am J Otol Rhinol Laryngol. 1946; 55: 495-507. 6. Seabold JE, Simonson TM, Weber PC, et al. Cranial osteomyelitis: diagnosis and follow-up with IN-111 white blood cell and Tc-99m methylene diphosphonate bone SPe Ct , CT, and MR imaging. Radiology 1995; 196: 779-788. 7. Silva J, Harvey WC. Detection of Infections with gallium-67 and scintigraphic imaging. Journal of Infectious Diseases. University of Chicago Press, Chicago Il, 1974; 125-131. 8. Zeng C, Luo Q, He W. Clinical and pathological observation and treatment of chronic orbital osteomyelitis Ophthalmologica. 2010; 224: 162-166.
Language eng
Format application/pdf
Type Text
Source 43rd Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2011 Walsh Session, February 5
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2011. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6bp05n3
Contributor Primary Newman, Steven
Contributor Secondary Bourne, David; Raghavan, Prashant
Setname ehsl_novel_fbw
ID 179039
Reference URL https://collections.lib.utah.edu/ark:/87278/s6bp05n3