Planet of the apex.

Diabetic palsy Diplopia Nasopharyngeal carcinoma Orbital apex syndrome

Journal

Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551

Informations de publication

Date de publication:
23 Nov 2023
Historique:
received: 23 10 2023
revised: 17 11 2023
accepted: 20 11 2023
pubmed: 26 11 2023
medline: 26 11 2023
entrez: 25 11 2023
Statut: aheadofprint

Résumé

A 63-year-old man with diabetes presented with unilateral ptosis and an exotropia. A diagnosis of isolated diabetic III nerve palsy was made. Subsequent neuro-ophthalmologic evaluation showed multiple cranial nerves involvement consistent with a diagnosis of orbital apex syndrome. Review of past medical history was significant for a previous nasopharyngeal carcinoma, and biopsy of the involved site was consistent with tumor recurrence. This case highlights the importance of correct medical history taking and anatomo-clinical correlation in neuro-ophthalmology.

Identifiants

pubmed: 38007200
pii: S0039-6257(23)00163-7
doi: 10.1016/j.survophthal.2023.11.007
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest There's no financial/personal interest.

Auteurs

Francesco Pellegrini (F)

Department of Ophthalmology, ASFO, Pordenone, PN, Italy. Electronic address: francesco.pellegrini@asfo.sanita.fvg.it.

Maria Basciu (M)

Department of Anatomy and Histopathology, ASFO, Pordenone, Pordenone, Italy.

Rod Foroozan (R)

Division of Neuro-Ophthalmology, Baylor College of Medicine, Houston, TX, USA.

Classifications MeSH