Orbital apex syndrome secondary to apical periodontitis of a tooth: a case report.
Cranial nerve injury
Odontogenic infection
Orbital apex syndrome
Stroke
Journal
BMC neurology
ISSN: 1471-2377
Titre abrégé: BMC Neurol
Pays: England
ID NLM: 100968555
Informations de publication
Date de publication:
19 Sep 2022
19 Sep 2022
Historique:
received:
28
03
2022
accepted:
14
09
2022
entrez:
19
9
2022
pubmed:
20
9
2022
medline:
23
9
2022
Statut:
epublish
Résumé
Orbital apex syndrome (OAS) is a rare disease with a noticeable mortality rate. Although its etiology has been repeatedly assessed, few reports have concentrated on odontogenic infection. We presented a rare case of OAS secondary to apical periodontitis. A 61-year-old male was admitted to our hospital for a 3-day history of left orbital and head pain, along with diplopia for 1-day. He also had toothache symptoms before his admission. Due to the atypical early symptoms of orbital apex and cranial nerve injury, no timely and effective diagnosis and treatment were initially provided. However, as the disease progressed and complications occurred, we timely adjusted the diagnosis and successfully controlled the infection. During the one-year follow-up, no recurrence of inflammation was observed; nevertheless, the ptosis and ophthalmoplegia persisted. OAS is a rare, while severe complication of odontogenic infection. This case had various symptoms and nerve injury in the orbital apical area. When disease is atypical in its early stages, treatment is easily overlooked. Early detection and suspicion of orbital apex-related complications should be heightened.
Sections du résumé
BACKGROUND
BACKGROUND
Orbital apex syndrome (OAS) is a rare disease with a noticeable mortality rate. Although its etiology has been repeatedly assessed, few reports have concentrated on odontogenic infection. We presented a rare case of OAS secondary to apical periodontitis.
CASE PRESENTATION
METHODS
A 61-year-old male was admitted to our hospital for a 3-day history of left orbital and head pain, along with diplopia for 1-day. He also had toothache symptoms before his admission. Due to the atypical early symptoms of orbital apex and cranial nerve injury, no timely and effective diagnosis and treatment were initially provided. However, as the disease progressed and complications occurred, we timely adjusted the diagnosis and successfully controlled the infection. During the one-year follow-up, no recurrence of inflammation was observed; nevertheless, the ptosis and ophthalmoplegia persisted.
CONCLUSIONS
CONCLUSIONS
OAS is a rare, while severe complication of odontogenic infection. This case had various symptoms and nerve injury in the orbital apical area. When disease is atypical in its early stages, treatment is easily overlooked. Early detection and suspicion of orbital apex-related complications should be heightened.
Identifiants
pubmed: 36123630
doi: 10.1186/s12883-022-02890-0
pii: 10.1186/s12883-022-02890-0
pmc: PMC9484228
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
354Informations de copyright
© 2022. The Author(s).
Références
Orbit. 2013 Apr;32(2):91-4
pubmed: 23514029
Radiology. 2006 Apr;239(1):187-94
pubmed: 16567486
Neuroradiol J. 2018 Apr;31(2):104-125
pubmed: 29415610
Endocrinology. 2009 Dec;150(12):5218-29
pubmed: 19819943
Int J Oral Maxillofac Surg. 2016 Apr;45(4):497-506
pubmed: 26725107
Eur J Ophthalmol. 2021 Jan;31(1):34-41
pubmed: 32927961
J Endod. 2012 Nov;38(11):1541-3
pubmed: 23063232
Curr Opin Ophthalmol. 2004 Dec;15(6):490-8
pubmed: 15523194
Eye Brain. 2019 Dec 12;11:63-72
pubmed: 31849556
Case Rep Med. 2016;2016:9763621
pubmed: 27087813