Klin Monbl Augenheilkd 2010; 227(4): 326-327
DOI: 10.1055/s-0029-1245214
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© Georg Thieme Verlag KG Stuttgart · New York

Aspergillosis: An Unusual Case of Orbital Apex Syndrome

Aspergillose: Ein ungewöhnlicher Fall eines orbitalen Apex-SyndromsP.-F. Kaeser, F.-X. Borruat
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Publication History





Publication Date:
20 April 2010 (online)

Background

Orbital apex syndrome (OAS) is defined by a combination of multiple ocular motor cranial nerve palsies (III, IV, VI), sensory loss in the distribution of V 1, and optic nerve dysfunction. The likelihood of OAS increases with the number of cranial nerves involved [1]. Symptoms of OAS may include visual loss, diplopia, periorbital or facial pain, and proptosis. Etiologies include trauma, vascular disease, tumor, inflammation or infection.

References

  • 1 Lin C C, Tai J J. Relationship between number of involved cranial nerves and the percentage of lesions located in the cavernous sinus.  Eur Neurol. 2003;  49 98-102
  • 2 Yeh S, Foroozan R. Orbital apex syndrome.  Curr Opin Ophthtalmol. 2004;  15 490-498
  • 3 O’Toole L, Acheson J A, Kidd D. Orbital apex lesion due to aspergillosis presenting in immunocompetent patients without apparent sinus disease.  J Neurol. 2008;  255 1798-1801
  • 4 Levin L A, Avery R, Shore J W. et al . The spectrum of orbital aspergillosis: a clinicopathological review.  Surv Ophthtalmol. 1996;  41 142-154
  • 5 Stammberger H, Jakse R, Beaufort F. Aspergillosis of the paranasal sinuses: x-ray diagnosis, histopathology, and clinical aspects.  Ann Otol Rhinol Laryngol. 1984;  93 251-256
  • 6 Cho S H, Jin B J, Lee Y S. et al . Orbital apex syndrome in a patient with sphenoid fungal balls.  Clin Exp Otorhinolaryngol. 2009;  2 52-54

François-Xavier Borruat, MD, PD, MER

Hôpital Ophtalmique Jules Gonin

Avenue de France 15

Lausanne CH-1004, Switzerland

Phone: ++ 41/21/6 26 86 60

Fax: ++ 41/21/6 26 86 66

Email: francois.borruat@fa2.ch

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