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Pitfalls in exophthalmos

Poster Details

First Author: S.Gradinaru ROMANIA

Co Author(s):    M. Totir   I. Careba   V. Popescu   A. Tugui   Y. Sabri   D. Iulia

Abstract Details


We present four challenging cases of exophthalmos with various ethiologies: M.V, male, 50 years with a history of head trauma 2 months prior to presentation comes for exopthalmos,chemosis,3rd nerve palsy. T.A male, age 37 with a history of peripheral facial palsy in childhood who comes for mild exopthalmos and intermittent diplopia that becomes permanent in matter of hours. C.V,male, 24 years comes for nasal subconjunctival hemorrhage in the left eye and axial painless unilateral exophthalmia in the left eye. C.M, female, 58 years comes for exophthalmos in the left eye and palpebral oedema


The particularity of these cases were related to the onsetting age and ethiology: Case 1: carotid -cavernous fistula at 50 years Case 2: Tolosa Hunt syndrome at 37 years Case 3: Orbital varices at 24 years Case 4:Great wing of the sfenoid bone displasia at 59 years


We performed angio MRI and MRI scans in all patients as rapid method of diagnosis.


We discuss various treatment methods and differential diagnosys as the ethiology differs from one case to another.


Although the preliminary diagnosis for these patients regarding the age, other clinical signs and history was different, the MRI and laboratory findings offer other perspectives of diagnosis and treatment.

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