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https://www.readbyqxmd.com/read/29676321/bilateral-herpes-simplex-keratitis-reactivation-after-lacrimal-gland-botulinum-toxin-injection
#1
Purvasha Narang, Swati Singh, Vikas Mittal
Botulinum toxin A (BTA) injections into lacrimal gland are being used for refractory epiphora due to intractable lacrimal disorders with success rates reported from 18% to 86%. Most common side effects are transient ptosis and diplopia. We report a case of a 59-year-old female injected with 2.5 units of BTA injection in each lacrimal gland for functional epiphora. The patient had a history of herpes simplex viral keratitis that was quiescent for more than 2 years. After 3 weeks, she developed reactivation of viral keratitis bilaterally, which was successfully managed with antivirals and topical steroids...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675349/primary-ductal-adenocarcinoma-of-lacrimal-gland-two-case-reports-and-review-of-the-literature
#2
Hsin-Yu Yang, Cheng-Hsien Wu, Chieh-Chih Tsai, Wei-Kuang Yu, Shu-Ching Kao, Catherine Jui-Ling Liu
A 64-year-old male presented with progressive proptosis of the left eye for 3 months. Orbital computed tomography (CT) demonstrated a 3.9 cm infiltrative mass over the superotemporal quadrant of the left orbit. Pathology of biopsy revealed a ductal adenocarcinoma of lacrimal gland with positive immunohistochemical staining for androgen receptor (AR), cytokeratin-7 (CK7), and gross cystic disease fluid protein 15 (GCDFP-15). The patient received orbital exenteration and adjuvant chemoradiotherapy. No recurrence or metastasis was noted 27 months after treatment...
January 2018: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675346/factors-affecting-surgical-outcome-of-intermittent-exotropia
#3
Chee-Ming Lee, Ming-Hui Sun, Ling-Yuh Kao, Ken-Kuo Lin, Meng-Ling Yang
PURPOSE: The purpose of this study was to investigate the factors affecting surgical outcome in intermittent exotropia. DESIGNS: This was a retrospective interventional study. METHODS: Intermittent exotropic patients who had undergone surgical correction with a postoperative follow-up period of 1 month or more were included in the study. Surgical success was defined as an alignment between 10 prism diopters (PD) of exotropia or 5 PD of esotropia at 1 month...
January 2018: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/29672768/microsurgical-resection-of-a-meningioma-at-the-entrance-of-dorello-s-canal-causing-vi-cranial-nerve-compression-2-dimensional-operative-video
#4
Abdulrahman Alturki, Alejandro Enriquez-Marulanda, Raghav Gupta, Ajith J Thomas, Christopher S Ogilvy
We describe the case of a 73-yr-old female patient with a 2-yr history of diplopia that has progressively become worse. Physical examination revealed a right VI cranial nerve (CN) palsy. Magnetic resonance imaging and angiography showed a dolichoectatic basilar artery near the VI CN. A suboccipital craniectomy was performed, initially with the intention to perform a microvascular decompression; however, a red mass was encountered at the entrance of the right Dorello's canal that was compressing the VI CN. Complete resection of the lesion was done and decompression of the nerve was accomplished...
April 17, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29672190/recovery-of-a-disinserted-medial-rectus-muscle-after-pterygium-surgery
#5
Prapatsorn Patikulsila, Atitaya Apivatthakakul, Kasem Seresirikachorn
PURPOSE: To report a case of recovery of a medial rectus which was accidentally disinserted after surgical treatment of a recurrent pterygium. METHOD: Report of a case of inadvertent medial rectus disinsertion after pterygium excision at a secondary care hospital which was referred to a tertiary care hospital in Northern Thailand. RESULT: A 40-year-old healthy woman was referred by a general ophthalmologist at a secondary care center to our hospital...
April 19, 2018: Strabismus
https://www.readbyqxmd.com/read/29669602/cerebral-vasculitis-and-lateral-rectus-palsy-two-rare-central-nervous-system-complications-of-dengue-fever-two-case-reports-and-review-of-the-literature
#6
H M M Herath, J S Hewavithana, C M De Silva, O A R Kularathna, N P Weerasinghe
BACKGROUND: Dengue fever is a common mosquito-borne viral illness with a clinical spectrum ranging from a simple febrile illness to potentially life-threatening complications such as dengue hemorrhagic fever and dengue shock syndrome. Dengue infection can affect many organs, including the central nervous system. The neurological manifestations reported in dengue infections are meningitis, encephalitis, stroke, acute disseminated encephalomyelitis, and Guillain-Barré syndrome. CASE PRESENTATION: We report the cases of two interesting patients with confirmed dengue infection who presented with complications of possible central nervous system vasculitis and cranial nerve palsy...
April 19, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29666602/myasthenia-gravis-induced-by-ipilimumab-in-a-patient-with-metastatic-melanoma
#7
Vera Montes, Sandra Sousa, Fernando Pita, Rui Guerreiro, Cátia Carmona
In daily clinical practice, there is a growing number of patients receiving new biological agents used in the treatment of malignancies. Ipilimumab is a fully humanized monoclonal antibody approved for patients with melanoma. It acts as an immune checkpoint inhibitor, binding and blocking cytotoxic T-lymphocyte antigen-4 in order to increase the antitumor immune response. There are several reports of autoimmune responses after its use. A 74-year-old man developed a mild rash and pruritus a few hours after the second infusion of ipilimumab and 24 h after the third dose of ipilimumab, he presented with shortness of breath, proximal limb muscle weakness, and diplopia...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29661986/maxillary-sinus-mucocele-with-orbital-complications
#8
Nicola Lombardo, Pierpaolo Ferrise, Giovanna Lucia Piazzetta, Donatella Bruzzichessi, Domenico Testa, Pasquale Viola, Corrado Pelaia, Gaetano Motta
INTRODUCTION: Maxillary sinus mucocele is an unusual clinic entity (incidence of 3-10%), represented by mucous secretion lined by respiratory stratified pavemented epithelium and its origin is mainly secondary to infections, inflammations, surgery, trauma or neoplasia. CASE REPORT: We present a case of maxillary sinus mucocele. Subject of the study is a 74 aged patient referring positive anamnesis for nasal cavity surgery. His symptoms appeared six months ago and he complainted vertical ocular diplopia and ocular tension sensation, without rhinologic complaints...
April 9, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29661894/clinical-reasoning-a-56-year-old-woman-with-acute-vertigo-and-diplopia
#9
Rishi Sharma, Tia Chakraborty, Francis K Buadi, Elena Beam, Vincent S Pureza, Gabriel L Pagani-Estevez, Eoin P Flanagan
No abstract text is available yet for this article.
April 17, 2018: Neurology
https://www.readbyqxmd.com/read/29655447/ocular-myasthenia
#10
REVIEW
Mohammed Al-Haidar, Michael Benatar, Henry J Kaminski
Ocular myasthenia is a form of myasthenia gravis in which weakness is restricted to the ocular muscles and may produce significant visual disability. Patients present with fluctuating ptosis, diplopia, or a combination of both. Examination may show any type of ocular motility deficit ranging from isolated muscle palsy to complete ophthalmoplegia. Cogan lid twitch, enhanced ptosis, peek sign, and saccadic fatigue are specific examination findings that support the clinical diagnosis of myasthenia gravis. Confirmation of the diagnosis is challenging with autoantibody serology, and repetitive nerve stimulation studies are often negative...
May 2018: Neurologic Clinics
https://www.readbyqxmd.com/read/29653277/a-crick-in-the-neck-followed-by-massage-offered-him-a-stroke-an-uncommon-case-of-vertebral-artery-dissection
#11
Gautam Dutta, Anita Jagetia, Arvind K Srivastava, Daljit Singh, Hukum Singh, Ravindra K Saran
We present an unusual case of vertebral artery dissection in a 30-year-old male patient following an episode of neck massage. He developed headache, nausea, vomiting, blurred vision, diplopia, dizziness, and ataxia following the procedure. We also discuss a review of the pathology, diagnosis, symptomatology, treatment, prognosis, and occurrence of this rare entity.
April 10, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29652210/idiopathic-central-nervous-system-inflammatory-disease-in-the-setting-of-hla-b27-uveitis
#12
Eric L Crowell, Margaret L Pfeiffer, Ankur A Kamdar, Mary K Koenig, Susan E Wittenberg, Emilio P Supsupin, Ore-Ofe O Adesina
PURPOSE: The purpose of the article is to describe a novel case of idiopathic central nervous system inflammatory disease with bilateral human leukocyte antigen (HLA)-B27-positive anterior uveitis. METHODS/RESULTS: A 15-year-old African American boy with bilateral HLA-B27-positive anterior uveitis controlled with topical and oral steroids for 8 months acutely developed headaches, left eyelid ptosis, and binocular diplopia. Imaging showed lesions in the right midbrain, superior colliculus, cerebellar peduncles, and cerebellar vermis and leptomeningeal enhancement along the vermian foliae...
April 13, 2018: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/29643794/isolated-medial-orbital-wall-fracture-associated-with-enophthalmos-in-a-paediatric-patient-an-unusual-presentation
#13
Panagiotis Giannakouras, Georgios Pollalis, Efthymia Tsina
Purpose: To report a case of isolated medial orbital wall fracture with enophthalmos in a paediatric patient and describe the clinical presentation and findings by means of computed tomography (CT) of the head and eyes. Methods: We looked at the patient's medical and ophthalmologic history, and an ophthalmologic examination and a CT of the head were performed at baseline. Results: A 14-year-old boy was admitted to the emergency department of our institution with ecchymosis of his right eyelids secondary to a sport accident...
January 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29643681/mismatch-in-brain-perfusion-and-metabolism-detected-with-99m-tc-hexamethyl-propylene-amine-oxime-single-photon-emission-computed-tomography-and-18-f-fluorodeoxyglucose-positron-emission-tomography-in-moyamoya-disease
#14
Justo Serrano Vicente, Luis Fernández Prudencio, José Rafael Infante Torre, Juan Ignacio Rayo Madrid
We report a 47-year-old woman who developed an ischemic stroke with diplopia and dysarthria. Emergency computed tomography (CT) showed no pathological findings, and magnetic resonance (MR) showed mild ischemic-degenerative lesions. MR angiography and angiogram showed severe stenosis of both internal carotid and main intracranial arteries with plenty collateral vessels with "puff of smoke" suggesting a moyamoya disease (MMD). Brain perfusion single-photon emission CT showed global diminished perfusion in the brain lobes and a marked relative hyperperfusion in the cerebellum...
April 2018: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29618885/endoscopic-assisted-combined-transantral-and-subciliary-approach-in-treatment-of-orbital-floor-fracture-a-case-report
#15
Venkatesh Anehosur, K Harish
Management of orbital floor fracture remains the most debated topic in maxillofacial field. There are many approaches to reconstruct orbital floor fractures and restore orbital position and function, but many have the drawback of incomplete visualization, especially of the posterior part of the orbit. Pain, diplopia and enophthalmos are the most common presenting symptoms in patients who sustained orbital blow out fracture. The main aim in treating orbital fracture is to reduce the prolapsed orbital tissue and reconstruct the floor which will improve diplopia and enophthalmos...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29610114/two-cases-of-unidentified-acute-compartment-syndrome
#16
Shinsuke Takeda, Masahiro Tatebe, Atsushi Sakai, Hitoshi Hirata
Acute compartment syndrome (ACS) is a surgical emergency that requires urgent fasciotomy to prevent irreversible sequelae. We report two cases of unidentified ACS, which did not result from traumatic injuries such as fractures or crush injury, iatrogenic injury or diseases such as haematological malignancies. Both patients complained of severe pain and swelling of their extremity. No bite marks, blisters or skin necrosis was noted. They also complained of marked symptoms of third cranial nerve injury, including divergent squint and diplopia...
April 1, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29604283/challenging-management-of-double-vision-after-functional-endoscopic-sinus-surgery-a-series-of-6-cases
#17
Elad Ben Artsi, Tamara Wygnanski-Jaffe, Benjamin Shalev, Abraham Spierer, Iftach Yassur, Ofira Zloto, Daphna Prat, Ayelet Priel, Guy Ben Simon
PURPOSE: To present 6 cases of orbital trauma diplopia and strabismus after functional endoscopic sinus surgeries (FESS). DESIGN: Retrospective observational case series. METHODS: The medical charts of suitable patients were reviewed for information on medical examination, imaging studies, the type of corrective surgery, and surgical outcomes. STUDY POPULATION: All patients with diplopia and strabismus after undergoing FESS who were treated or consulted at our institution between 2008 and 2017 were included...
March 28, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29601105/efficacy-and-safety-of-rituximab-for-the-treatment-of-graves-orbitopathy-a-meta-analysis-of-randomized-controlled-trials
#18
Wan-Chen Shen, Chia-Hwa Lee, El-Wui Loh, An-Tsz Hsieh, Lawrence Chen, Ka-Wai Tam
STUDY OBJECTIVE: To investigate the efficacy and safety of rituximab in patients with Graves' orbitopathy (GO). DESIGN: Systematic review and meta-analysis of four randomized controlled trials. PATIENTS: A total of 293 patients with GO who received rituximab or control (either glucocorticoids, the established first-line therapy [three trials], or saline [one trial]). MEASUREMENTS AND RESULTS: Relevant studies published before February 2018 were identified from the PubMed, Embase, Cochrane Library, and Scopus databases, and the ClinicalTrials...
March 30, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29600913/natural-history-of-cavernous-sinus-meningiomas
#19
Aymeric Amelot, Remy van Effenterre, Michel Kalamarides, Philippe Cornu, Anne-Laure Boch
OBJECTIVE Meningiomas confined to the cavernous sinus (MCSs) are benign tumors. Due to the high risk of severe complications, the intracavernous surgical procedure was abandoned in favor of radiotherapy. However, the choice of treatment remains complicated due to the fact that the natural history of this lesion has not yet been described. METHODS The authors studied the natural history of this lesion using a prospective series of 53 consecutive patients suffering from MCSs. The median follow-up duration was 10...
March 30, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29593631/acute-hemorrhagic-encephalitis-responding-to-combined-decompressive-craniectomy-intravenous-immunoglobulin-and-corticosteroid-therapies-association-with-novel-ranbp2-variant
#20
Abdulla Alawadhi, Christine Saint-Martin, Farhan Bhanji, Myriam Srour, Jeffrey Atkinson, Guillaume Sébire
Background: Acute hemorrhagic encephalomyelitis (AHEM) is considered as a rare form of acute disseminated encephalomyelitis characterized by fulminant encephalopathy with hemorrhagic necrosis and most often fatal outcome. Objective: To report the association with Ran Binding Protein ( RANBP2) gene variant and the response to decompressive craniectomy and high-dose intravenous methylprednisolone (IVMP) in life-threatening AHEM. Design: Single case study...
2018: Frontiers in Neurology
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