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Orbital Mri

Manami Kawai, Toshiaki Goseki, Hitoshi Ishikawa, Miki Hoshina, Nobuyuki Shoji
PURPOSE: We evaluated the background and characteristics of elderly patients with binocular diplopia including diseases caused by abnormalities in orbital pulleys. STUDY DESIGN: Retrospective. METHODS: The participants were 236 patients aged 60 years or older who visited Kitasato University Hospital complaining of binocular diplopia. We classified strabismus by types and investigated the causes for each group. We diagnosed orbital pulley disorders using magnetic resonance imaging (MRI)...
August 12, 2018: Japanese Journal of Ophthalmology
Sarah M Jacobs, Raghu C Mudumbai, A J Amadi
Purpose: This study evaluates the radiographic appearance of lacrimal gland tissue after placement of a glaucoma drainage implant (GDI) to characterize the impact of the device on the gland's imaging patterns. Methods: We performed retrospective chart review of departmental records at two urban academic medical centers, which were systematically searched using procedure codes to identify adult glaucoma patients who underwent unilateral superotemporal GDI from January 1995 to December 2015...
July 2018: Journal of Ophthalmic & Vision Research
G Prakash Rao, M Siddartha Reddy, Imran Mohammed, K Arjun Reddy, E Swathi Reddy
Orbital lymphangioma is an infrequent benign cystic lesion manifesting in childhood and presenting with slowly progressive proptosis, and restriction of eye movements. Here we report a rare case of 8 year old male patient presenting with unilateral painful proptosis and subconjunctival hemorrhage with decrease of vision and restriction of eye movements. CT scan and MRI were done which revealed an intraorbital and intraconal cystic space occupying lesion. Fronto-orbito zygomatic craniotomy was done for orbital decompression and subtotal excision of tumor and blood evacuation...
April 2018: Journal of Pediatric Neurosciences
Bhavna Chawla, Shweta Chaurasia, Sanjay Sharma, Rajesh Pattebahadur, Fahmi Hasan, Rachna Seth, Seema Kashyap, Seema Sen
PURPOSE: Extraocular retinoblastoma with optic nerve invasion is treated by a multimodal protocol consisting of neoadjuvant chemotherapy, enucleation, and adjuvant therapy. This study was conducted to evaluate the performance of magnetic resonance imaging (MRI) used for tumor restaging in these children after systemic chemotherapy administration. METHODS: Contrast-enhanced MRI scan of orbits and brain was performed at diagnosis and patients were treated with neoadjuvant chemotherapy...
August 8, 2018: Ophthalmic Genetics
Neville Aquilina, Vincent Bugeja, Charmaine Zahra
BACKGROUND: Orbital myositis is an idiopathic, inflammatory, non-infectious condition, typically confined to more than one extraocular muscle and usually targeting young females in their third decade. CASE REPORT: We describe a case of orbital myositis uncommonly afflicting an adult male. He initially presented with a sensation of dizziness when turning his head and mobilising, together with right-sided orbital pain that failed to respond to the vestibular sedative cinnarizine...
July 20, 2018: Open Access Macedonian Journal of Medical Sciences
A Livny, K Cohen, N Tik, G Tsarfaty, P Rosca, A Weinstein
There is an increasing use of "Novel Psychoactive Substances" containing synthetic cannabinoids worldwide. Synthetic cannabinoids (SC) are highly addictive and cause severe adverse effects. The purpose of our study was to assess whether chronic use of SC alters brain volume and function. Fifteen SC chronic users and 15 healthy control participants undertook an MRI scan to assess brain volume and function while performing a working memory N-back task and a response-inhibition Go-No-Go task. SC users showed impaired performance on the N-back task but not on the Go-No-Go task...
August 3, 2018: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
Namju Kim, Hee Kyung Yang, Jae Hyoung Kim, Jeong-Min Hwang
Purpose/Aims: To compare the clinical and radiological findings of the two rare entities of congenital orbital fibrosis and congenital fibrosis of the extraocular muscles (CFEOM). Materials Methods: Clinical characteristics and magnetic resonance imaging (MRI) findings of three congenital orbital fibrosis patients were analyzed and compared to 13 CFEOM patients. RESULTS: In all three patients with congenital orbital fibrosis, unilateral EOM limitation and enophthalmos were found with a retrobulbar infiltrating mass and normal oculomotor and abducens nerves on MRI...
August 6, 2018: Current Eye Research
Alice C Shieh, Alexander D Blandford, Catherine J Hwang, Julian D Perry
PURPOSE: To longitudinally evaluate for changes in globe position as part of the natural aging process. METHODS: A Cleveland Clinic Foundation imaging database of all head imaging scans performed from 1995 to 2017 was used to identify adults with normal orbits undergoing imaging studies at least 20 years apart. A total of 100 patients (200 globes) who had CT or MRI scans were studied. Globe position was determined by measuring the distance from the anterior aspect of the cornea to the zygomaticofrontal processes baseline...
August 2, 2018: Ophthalmic Plastic and Reconstructive Surgery
Kai Jie Wang, Qing Lin Chang, Feng Yuan Man, Juan Ding, Jing Hui Wang, Jun Fang Xian, Yong Hong Jiao
PURPOSE: To investigate the clinical characteristics and magnetic resonance imaging (MRI) findings of the extraocular muscle and ocular motor nerves in congenital monocular strabismus fixus. METHODS: The retrospective observational case series of three patients with congenital monocular strabismus fixus were reviewed between January 1, 2006, and December 31, 2016. Ophthalmologic examination and thin-sectioned MRI of the ocular motor nerve and the orbit were performed on the three patients...
July 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Dannys Rivero Rodríguez, Claudio Scherle Matamoros, Galo E Pillajo Sulca, Yanelis Pernas Sánchez
Isolated traumatic oculomotor nerve (ON) palsy is an uncommon clinical presentation of mild traumatic brain injury (TBI). There are very few cases in which it has been possible to demonstrate the isolated damage of the ON by avulsion of the roots, accompanied with traumatic axonal injury and intraneural microhemorrhage. We present a 23-year-old female who, after mild TBI, began to experience right ptosis, binocular diplopia, and photophobia. Clinical examination showed a complete ophthalmoparesis of the right ON, without other neurological deficits...
July 28, 2018: Neurocirugía
Varajini Joganathan, Deepak Gupta, Bijan Beigi
Trapdoor fractures are common in children because of elastic nature of the pediatric bone. Clinical signs and radiological evidence in these cases may be minimal.This study involves a 14-year-old girl who sustained blunt trauma to her left eye. Initial investigation, for pure orbital floor fracture included computerized tomography (CT scan) of the orbit, did not show any evidence of incarcerated rectus muscle. She had no limitation of extraocular movements nor enophthalmos. Following conservative treatment, she had a left persistent orbital pain and left monocular diplopia...
July 27, 2018: Journal of Craniofacial Surgery
Christopher Lo, Shoaib Ugradar, Daniel Rootman
Orbital imaging plays a central role in the diagnosis and management of thyroid-related orbitopathy (TRO). Diagnostically, it is used to compliment a careful ophthalmic examination, laboratory values, and ancillary studies to confirm the presence of TRO and/or dysthyroid optic neuropathy (DON). It can also be helpful in surgical planning and understanding the progression of thyroid myopathy. Computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine all have applications in the field...
July 25, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Muhammad Hassaan Ali, Shauna Berry, Azam Qureshi, Narissa Rattanalert, Joseph L Demer
PURPOSE: To determine informative clinical and magnetic resonance imaging (MRI) characteristics of patients with symptomatic adult acquired, comitant esotropia due to decompensated esophoria. DESIGN: Retrospective chart review. METHODS: Setting: Institutional. STUDY POPULATION: Patients with decompensated esophoria who developed acute acquired comitant esotropia OBSERVATION PROCEDURES: Ophthalmic examination, stereopsis, and strabismus measurements at distance and near using prism cover tests in diagnostic gaze positions were performed...
July 24, 2018: American Journal of Ophthalmology
Nathan D Wilbanks, Oliver R Filutowski, Michael D Maldonado, Zeynel A Karcioglu
Purpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis. Observations: We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal infection. Magnetic resonance imaging (MRI) revealed pansinusitis and contralateral otitis media with direct extension into the superior aspect of the left orbit affecting the levator palpebrae superioris muscle...
September 2018: American Journal of Ophthalmology Case Reports
Honglu Song, Huanfen Zhou, Mo Yang, Shaoying Tan, Junqing Wang, Quangang Xu, Hongjuan Liu, Shihui Wei
BACKGROUND/AIMS: To investigate clinical characteristics and prognosis of paediatric optic neuritis (PON) in patients seropositive for myelin oligodendrocyte glycoprotein antibody (MOG-Ab) in China. METHODS: Children displaying initial onset of optic neuritis (ON) were recruited from the Neuro-ophthalmology Department in the Chinese People's Liberation Army General Hospital from January 2016 to August 2017. They were assigned into three groups based on antibody status: MOG-Ab-seropositive ON (MOG-ON), aquaporin-4 antibody-seropositive ON (AQP4-ON) and double seronegative ON (seronegative-ON)...
July 26, 2018: British Journal of Ophthalmology
Rafat Ghabrial, Arjun Ananda, Sebastiaan J van Hal, Elizabeth O Thompson, Stephen R Larsen, Peter Heydon, Ruta Gupta, Svetlana Cherepanoff, Michael Rodriguez, Gabor Michael Halmagyi
Invasive fungal sinusitis causes painful orbital apex syndrome with ophthalmoplegia and visual loss; the mechanism is unclear. We report an immunocompromised patient with invasive fungal sinusitis in whom the visual loss was due to posterior ischaemic optic neuropathy, shown on diffusion-weighted MRI, presumably from fungal invasion of small meningeal-based arteries at the orbital apex. After intensive antifungal drugs, orbital exenteration and immune reconstitution, the patient survived, but we were uncertain if the exenteration helped...
August 2018: Neuro-ophthalmology
Giorgio Albanese, Padma Mohandas, Louise Wells, Jane Ravenscroft, Jothsana Srinivasan, Shery Thomas, Timothy Taylor, Katya Tambe
AIM: The aim of this study is to report a retrospective case series on orbital infantile haemangiomas (OIH). Radiological features and treatment with oral propranolol (OP) are illustrated along with an updated literature review. METHODS: A retrospective chart review of six children, diagnosed with OIH from November 2015 to October 2016, was carried out. Only children with deep documented orbital involvement were included. All patients underwent magnetic resonance imaging (MRI) under general anaesthesia...
July 24, 2018: Orbit
Chi-Man Yip, Huai-Pao Lee, Shu-Shong Hsu, Ying Tso Chen
Background: Giant cell tumor of bone originating from the connective tissue within the bone marrow is benign but locally aggressive lesion. In all, 90% of the cases involve the epiphysis of long bones and less than 2% involve the skull. Giant cell tumors of the skull occur most frequently in the sphenoid and temporal bones, and very rarely in the ethmoid, frontal, parietal, and occipital bones. We would like to share a case of giant cell tumor of bone arising from the left orbital roof with involving ethmoid sinus, which was diagnosed to be a meningioma before surgery...
2018: Surgical Neurology International
Asami Hotta, Tomohiro Tanaka, Haruka Kato, Shota Kakoi, Yuki Shimizu, Chie Hasegawa, Akiko Hayakawa, Satoshi Yasuda, Kento Ogawa, Shunsuke Ito, Hideomi Ohguchi, Takashi Yagi, Hiroyuki Koyama, Mihoko Kawamura, Kazuhiko Sugitani, Yuichiro Ogura, Takashi Joh, Kenro Imaeda
We report of a case of Graves' ophthalmopathy presented solely with symptoms of the eyes with normal thyroid function tests and negative immunoreactive TSH receptor autoantibody. 40-year-old male was referred to our hospital due to 2-month history of ocular focusing deficit without any signs or symptoms of hyper- or hypothyroidism. Serum thyroid function tests and 99m Tc uptake were both within the normal range. Anti-thyroid autoantibodies were all negative except for the cell-based assay for serum TSH receptor stimulating activity...
2018: Case Reports in Endocrinology
Stephen Scott Bollinger, Mark Gregory DeSautel, William Chad Spanos, Brian Joel Tjarks
Adenoid cystic carcinoma (ACC) is a rare malignant secretory gland tumor. It is characterized by slow growth, long clinical course, local recurrences, and distant metastases. In the sinonasal tract, it most commonly arises in the maxillary sinus. It often presents at an advanced stage with perineural spread (PNS). Our patient presented with left-sided facial numbness without other symptoms. The numbness was localized to the left cheek, left side of nose, and left upper lip. Magnetic resonance imaging (MRI) of the brain revealed an enhancing lesion involving the left maxillary sinus with orbital invasion and posterior extension into the cavernous sinus...
July 2018: South Dakota Medicine: the Journal of the South Dakota State Medical Association
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