1,083 results match your criteria Cavernous Sinus Syndromes


Pituitary metastasis of breast cancer mimicking IgG4-related hypophysitis.

eNeurologicalSci 2019 Mar 22;14:13-15. Epub 2018 Nov 22.

Department of Neurology, Faculty of Medicine, Fukuoka University, Japan.

IgG4-related hypophysitis, which is the pituitary gland inflammation caused by IgG4 positive lymphocytes, can affect cavernous sinus and orbital apex leading to developing cranial nerve related symptoms such as orbital apex syndrome (OAS). Here we report a case of hypopituitarism associated with OAS caused by pituitary metastasis of the breast cancer with elevated serum IgG4 level, who initially resembled to IgG4-related hypophysitis. Although this case had some features in common with igG4-related hypophysitis. Read More

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http://dx.doi.org/10.1016/j.ensci.2018.11.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275161PMC

[Glaucoma due to elevated episcleral venous pressure].

Ophthalmologe 2018 Nov 30. Epub 2018 Nov 30.

Klinik und Poliklinik für Augenheilkunde, Klinikum der Universität Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

Background: Glaucoma due to elevated episcleral venous pressure is a rare and difficult to treat form of secondary open angle glaucoma.

Objective: The pathophysiology, clinical findings, differential diagnosis and treatment options are discussed. Radius-Maumenee syndrome, Sturge-Weber syndrome and carotid-cavernous sinus fistulas are covered in particular. Read More

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http://dx.doi.org/10.1007/s00347-018-0828-4DOI Listing
November 2018
1 Read

Transsphenoidal surgery for pituitary adenomas: early results from a single center.

Hormones (Athens) 2018 Dec 4;17(4):551-556. Epub 2018 Dec 4.

Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy.

Objective: To evaluate early results of transsphenoidal surgery for pituitary adenomas.

Design: Retrospective evaluation of 90 consecutive patients undergoing endoscopic pituitary adenoma surgery (2007-2016) at "Maggiore della Carità" Hospital in Novara, Italy. Age at diagnosis, sex, symptoms at presentation, hormonal and radiological data, complications of surgery, and short-term follow-up information were collected. Read More

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http://dx.doi.org/10.1007/s42000-018-0082-9DOI Listing
December 2018
2 Reads

T-Cell Acute Lymphoblastic Lymphoma Presenting as Dissecting Cellulitis and Cavernous Sinus Syndrome.

J Neuroophthalmol 2018 Dec;38(4):470-472

Department of Ophthalmology (JJM, AS, AGL, SSY), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Department of Ophthalmology and Visual Sciences (JJM, AGL), University of Texas Medical Branch at Galveston, Galveston, Texas; Departments of Ophthalmology (AGL), Neurology, and Neurosurgery, Weill Cornell Medical College, New York, New York; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa.

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http://dx.doi.org/10.1097/WNO.0000000000000665DOI Listing
December 2018
3 Reads

Swollen and bloodshot eye following headache.

Am J Emerg Med 2018 Nov 7. Epub 2018 Nov 7.

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

A ruptured cavernous carotid aneurysm (CCA) with carotid cavernous fistula can appear as a benign headache but progress to a swollen and bloodshot eye overnight. A 66-year-old woman visited emergency department with sudden onset of pain behind her left forehead and vomiting. She was treated for a migraine-like headache and discharged. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183091
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http://dx.doi.org/10.1016/j.ajem.2018.11.008DOI Listing
November 2018
6 Reads

Pediatric Congenital Cerebrovascular Anomalies.

J Neuroimaging 2018 Oct 31. Epub 2018 Oct 31.

Department of Interventional Radiology, Sanford Aberdeen Clinic, Aberdeen, SD.

Congenital cerebrovascular anomalies in the pediatric age group are myriad with diverse etiologies. The purpose of this paper is to provide an imaging overview of congenital vascular malformations and vascular tumors, as these conditions are varied and the characteristic vascular abnormality may even suggest the underlying systemic condition in helping to guide further management. For example, the identification of an arterial anomaly such as agenesis/hypoplasia/duplication may warrant further evaluation for an associated syndrome. Read More

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http://doi.wiley.com/10.1111/jon.12575
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http://dx.doi.org/10.1111/jon.12575DOI Listing
October 2018
10 Reads

Hyperprolactinemia / Prolactinomas in the post-menopausal period:

challenges in diagnosis and management

.

Neuroendocrinology 2018 Oct 22. Epub 2018 Oct 22.


Hyperprolactinemia is not a common finding in post-menopausal women. Prolactinomas detected after menopause are usually macroadenomas. Due to atypical clinical features they may remain un-recognized for a long period of time. Read More

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http://dx.doi.org/10.1159/000494725DOI Listing
October 2018
1 Read

Teaching NeuroImages: Complex transverse sinus fistula and cavernous sinus syndrome.

Neurology 2018 Oct;91(16):e1551-e1552

From the Department of Neurology (G.P., J.D.-P.), and Interventional Neuroradiology (J.Z.), Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.

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http://dx.doi.org/10.1212/WNL.0000000000006368DOI Listing
October 2018
5 Reads

Supraorbital Nerve and Cavernous Sinus Invasion with Poorly Differentiated Carcinoma of Unknown Primary.

Neuroophthalmology 2018 Oct 9;42(5):312-315. Epub 2018 Jan 9.

Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.

A 50-year-old man presented with a 4-month history of right-sided trigeminal neuropathy in the V1 and V2 distribution, right sixth nerve palsy and Horner syndrome. Magnetic resonance imaging (MRI) showed enhancement and thickening along the right ophthalmic nerve and supraorbital nerve and fullness at the right cavernous sinus extending to Meckel's cave. Evaluation for a primary tumour was negative. Read More

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https://www.tandfonline.com/doi/full/10.1080/01658107.2017.1
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http://dx.doi.org/10.1080/01658107.2017.1401093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152533PMC
October 2018
10 Reads

Clival metastasis of renal clear cell carcinoma: Case report and literature review.

World J Clin Cases 2018 Sep;6(9):301-307

Department of Neurosurgery, First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

The clivus is an atypical metastatic site for renal clear cell carcinoma (RCCC). Here we report a 54 year old man with acute cavernous sinus syndrome. Brain magnetic resonance imaging identified a clival-based lesion with associated bony erosion. Read More

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http://www.wjgnet.com/2307-8960/full/v6/i9/301.htm
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http://dx.doi.org/10.12998/wjcc.v6.i9.301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134277PMC
September 2018
5 Reads

Cavernoma of the cauda equina.

Surg Neurol Int 2018 28;9:174. Epub 2018 Aug 28.

Department of Neurosurgery, KAT General Hospital of Attica, Kifisia 145 61, Greece.

Background: Cavernomas are benign malformations of the vasculature. In the central nervous system, they are mostly located supratentorially. However, in adults, cavernomas also comprise about 3% of all subdural spinal cord tumors. Read More

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http://www.surgicalneurologyint.com/text.asp?2018/9/1/174/24
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http://dx.doi.org/10.4103/sni.sni_212_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122280PMC
August 2018
5 Reads

A case of headache, double vision and ptosis in emergency department: Tolosa-Hunt syndrome.

Turk J Emerg Med 2018 Sep 31;18(3):134-136. Epub 2017 Oct 31.

Mersin University, Faculty of Medicine, Department of Neurology, Mersin, Turkey.

Headache and double vision symptoms can be seen especially neurological and optical problems. We present Tolosa-Hunt syndrome in a 34-year-old female patient who presented to the emergency department (ED) with the complaints of unilateral severe headache, double vision and ptosis, presented asymmetric contrast enhancement in the right superior cavernous sinus on MR. This pain was reduced with steroid therapy. Read More

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http://dx.doi.org/10.1016/j.tjem.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107929PMC
September 2018
3 Reads

Pituitary Apoplexy in Long-Term Cabergoline User During Thrombocytopenia Due to Chemotherapy for Chronic Myelocytic Leukemia.

World Neurosurg 2018 Dec 3;120:290-295. Epub 2018 Sep 3.

Department of Neurosurgery, Kurashiki Central Hospital, Okayama, Japan.

Background: Pituitary apoplexy (PA) is a life-threatening syndrome. The usage of a dopamine agonist, such as bromocriptine or cabergoline, is considered a predisposing factor for PA, which commonly occurs 1.5 years within commencement. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.187DOI Listing
December 2018
4 Reads

"Cavernous sinus syndrome" or "middle cranial fossa syndrome": Considerations on terminology.

Authors:
Mario Ricciardi

Vet Radiol Ultrasound 2018 Aug 13. Epub 2018 Aug 13.

Private practitioner, CT - MRI Support Service, Bari, Italy.

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http://dx.doi.org/10.1111/vru.12676DOI Listing

Unique case of trigeminal neuralgia due to Epstein-Barr-virus-associated B-cell lymphomatoid granulomatosis of the Meckel's cave and cavernous sinus: Important clinical and therapeutic implications.

Surg Neurol Int 2018 26;9:148. Epub 2018 Jul 26.

Department of Neurosurgery, Mainz University Hospital, Langenbeckstraße 1, 55131 Mainz, Germany.

Background: Trigeminal neuralgia (TN) represents one of the most disabling pain syndromes. Several diseases have been described as etiological triggers of TN, vascular compression of the trigeminal nerve being the most frequent cause. Here, we describe for the first time a rare case of TN caused by an infiltration of an isolated Epstein-Barr virus (EBV) B-cell lymphomatoid granulomatosis (LYG) mass into the Meckel's cave and cavernous sinus. Read More

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http://dx.doi.org/10.4103/sni.sni_12_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080144PMC
July 2018
3 Reads

Intracranial Venous Hypertension Induced by Superior Vena Cava Syndrome Mimicking Cavernous Dural Arteriovenous Fistula.

World Neurosurg 2018 Oct 23;118:265-268. Epub 2018 Jul 23.

Department of Neurosurgery, School of Medicine, Chungnam National University Hospital, Daejeon, Korea.

Background: Known facts are that a long period of central catheterization or hemodialysis causes central venous occlusion or stenosis and its further development brings about superior vena cava syndrome. Major symptoms of superior vena cava syndrome include venous congestion caused by the occlusion or stenosis of the central vein in the sites of the head, face, neck, and upper extremity. Clinical manifestations of superior vena cava syndrome are less likely to cause intracranial hypertension, and intracranial venous hypertension does not appear to be a clinical symptom of cavernous sinus-dural arteriovenous fistula. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.07.116DOI Listing
October 2018
3 Reads

A rare case of bilateral spontaneous indirect caroticocavernous fistula treated previously as a case of conjunctivitis.

Ther Adv Ophthalmol 2018 Jan-Dec;10:2515841418788303. Epub 2018 Jul 17.

North Devon District Hospital, Barnstaple, UK.

Carotid cavernous fistula is an abnormal communication between the carotid arterial system and the cavernous sinus. We present an interesting, rare case of bilateral spontaneous 'Barrow type- C' fistula treated presumptively as conjunctivitis. A 66 year old patient presented in the eye casualty at North Devon District Hospital in January 2016, referred from her General practitioner complaining of bilateral red eyes. Read More

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http://dx.doi.org/10.1177/2515841418788303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050812PMC
July 2018
7 Reads

Pathophysiology of carotid-cavernous fistulas in vascular Ehlers-Danlos syndrome: a retrospective cohort and comprehensive review.

Orphanet J Rare Dis 2018 Jun 25;13(1):100. Epub 2018 Jun 25.

Hôpital Européen Georges Pompidou, Département de Génétique, Centre de Référence des Maladies Vasculaires Rares, Hôpital Européen Georges Pompidou, AP-HP, 20-40 rue Leblanc, 75908, Paris Cedex 15, France.

Background: Vascular Ehlers-Danlos syndrome (vEDS) is a rare condition characterized by connective tissue fragility. Direct spontaneous carotid-cavernous fistula (sCCF) is reportedly pathognomonic of vEDS. We conducted this study to understand the possible mechanisms of occurrence of sCCF in this subset of patients. Read More

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http://dx.doi.org/10.1186/s13023-018-0842-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019721PMC
June 2018
4 Reads

Cavernous sinus syndrome in dogs and cats: case series (2002-2015).

Open Vet J 2018 26;8(2):186-192. Epub 2018 May 26.

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI 53706, USA.

The cavernous sinus (CS) is a paired venous sinus that runs along either side of the pituitary gland on the floor of the calvarium. Cavernous sinus syndrome (CSS) refers to deficits in more than one of the cranial nerves III, IV, V, and VI, as they are in close association in this region. The purpose of this study was to identify the presenting complaints, neurologic findings, diagnosis, and outcomes in dogs and cats with confirmed cavernous sinus syndrome (CSS). Read More

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http://dx.doi.org/10.4314/ovj.v8i2.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987351PMC
May 2018
7 Reads

[Hemorrhagic rupture of a giant arteriovenous malformation in a young man in Ouagadougou].

Pan Afr Med J 2018 17;29:38. Epub 2018 Jan 17.

Department of Neurology, Teaching Hospital Yalgado Ouedraogo of Ouagadougou.

Vascular arteriovenous malformations (VAM) are aggressive vascular diseases associated with increased haemorrhagic risk in terms of morbidity and mortality. Vascular arteriovenous malformations are usually sporadic. The main symptom of VAM is hemorrhage, in 50% of cases. Read More

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http://www.panafrican-med-journal.com/content/article/29/38/
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http://dx.doi.org/10.11604/pamj.2018.29.38.12253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987145PMC
June 2018
6 Reads

Pituitary Apoplexy Presenting as Ophthalmoplegia and Altered Level of Consciousness without Headache.

Case Rep Endocrinol 2018 9;2018:7124364. Epub 2018 May 9.

Division of Endocrinology, Department of Medicine, Riverside University Health System Medical Center, Moreno Valley, CA, USA.

Pituitary apoplexy (PA) is a clinical syndrome caused by acute ischemic infarction or hemorrhage of the pituitary gland. The typical clinical presentation of PA includes acute onset of severe headache, visual disturbance, cranial nerve palsy, and altered level of consciousness. . Read More

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http://dx.doi.org/10.1155/2018/7124364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5966706PMC
May 2018
3 Reads

Angiographic Findings in the Tolosa-Hunt Syndrome and Resolution after Corticosteroid Treatment.

Neuroophthalmology 2018 Jun 6;42(3):159-163. Epub 2017 Sep 6.

Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

The Tolosa-Hunt syndrome is a rare clinical condition characterized by painful opthalmoparesis associated with idiopathic granulomatous inflammation of the orbital apex and cavernous sinus. Historically, this condition was thought to result from arteritic changes in the internal carotid artery and cavernous sinus. Modern digital angiographic techniques were unavailable when THS was initially described, and few reports exist on its high-resolution angiographic findings. Read More

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https://www.tandfonline.com/doi/full/10.1080/01658107.2017.1
Publisher Site
http://dx.doi.org/10.1080/01658107.2017.1365268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958970PMC
June 2018
11 Reads

species and orbital apex syndrome: Unsuspected co-infection.

Saudi J Ophthalmol 2018 Jan-Mar;32(1):86-89. Epub 2018 Feb 8.

Diagnostic Services of Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.

species are thermally dimorphic fungi existing as yeast in tissue. We report an initially immunocompetent patient with orbital apex syndrome (OAS) whose presentation suggested giant cell arteritis. Subsequently, metastatic carcinoma was entertained as a cause of OAS until bronchoscopy yielded species. Read More

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http://dx.doi.org/10.1016/j.sjopt.2018.02.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943999PMC
February 2018
3 Reads

Catastrophic multiple arterial dissections revealing concomitant polyarteritis nodosa and vascular Elhers-Danlos syndrome.

Clin Exp Rheumatol 2018 Mar-Apr;36 Suppl 111(2):174-175. Epub 2018 May 3.

Internal Medicine Department, CHU Toulouse, France.

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July 2018
5 Reads

Severe localised granulomatosis with polyangiitis (Wegener's granulomatosis) manifesting with extensive cranial nerve palsies and cranial diabetes insipidus: a case report and literature review.

BMC Neurol 2018 May 1;18(1):59. Epub 2018 May 1.

Department of Rheumatology, The Royal London and Mile End Hospitals, Barts Health NHS Trust, Bancroft Road, London, E1 4DG, UK.

Background: Granulomatosis with polyangiitis (GPA, formerly Wegener's granulomatosis) is a multisystem vasculitis of small- to medium-sized blood vessels. Cranial involvement can result in cranial nerve palsies and, rarely, pituitary infiltration.

Case Presentation: We describe the case of a 32 year-old woman with limited but severe GPA manifesting as progressive cranial nerve palsies and pituitary dysfunction. Read More

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http://dx.doi.org/10.1186/s12883-018-1058-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930853PMC
May 2018
4 Reads
2.040 Impact Factor

A cavernous sinus lesion clinically responsive to steroids.

J Clin Neurosci 2018 Jul 21;53:239-240. Epub 2018 Apr 21.

Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. Electronic address:

Tolosa Hunt syndrome (THS) is characterized by painful ophthalmoplegia secondary to idiopathic granulomatous inflammation of the cavernous sinus. The characteristic finding on MRI is an enhancing T1 isointense and T2 hypo- or hyperintense cavernous sinus mass lesion, which may result in focal narrowing of the ipsilateral internal carotid artery. Although the incidence is quite rare, it is a common diagnostic consideration in cases that present with multiple cranial neuropathies. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.04.020DOI Listing
July 2018
15 Reads

cavernous sinus infection: a case and systematic literature review.

Pract Neurol 2018 Oct 12;18(5):373-377. Epub 2018 Apr 12.

Department of Neurology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

A 63-year-old man presented with a 2-month history of progressive right-sided exophthalmos, painful ophthalmoplegia and fevers. As more features developed, he was diagnosed with giant cell arteritis, then Tolosa-Hunt syndrome, and transiently responded to corticosteroids. A bland cerebrospinal fluid and highly metabolically active brain (F)-fluoro-D-glucose-positron emission tomography suggested lymphoma. Read More

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http://dx.doi.org/10.1136/practneurol-2017-001844DOI Listing
October 2018
2 Reads

[Endonasal endoscopic surgery in pituitary adenomas: Surgical results in a series of 86 consecutive patients].

Neurocirugia (Astur) 2018 Jul - Aug;29(4):161-169. Epub 2018 Mar 24.

Servicio de Otorrinolaringología, Hospital General Universitario de Alicante, Alicante, España.

Introduction: The endoscopic endonasal approach has become the gold standard for the surgical treatment of pituitary adenomas.

Objectives: The aim of this study is to present the results obtained in our hospital in purely endoscopic surgery of pituitary adenomas.

Methods: From February 2011 to August 2016, we conducted a prospective study on a series of 86 patients with pituitary adenoma, all of whom underwent surgery with a purely endoscopic endonasal approach. Read More

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http://dx.doi.org/10.1016/j.neucir.2018.02.002DOI Listing
September 2018
3 Reads

Tolosa-Hunt Syndrome - Case Report.

Acta Clin Croat 2017 Jun;56(2):331-337

Clinical Department of Neurology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.

This case report presents a patient diagnosed with Tolosa-Hunt syndrome (THS) after an extensive neuro-diagnostic and neuroimaging evaluation. Diagnostic work-up included thorough physical and neurological examination, complete laboratory serum assessments, neuroendocrine and immunohistochemistry analysis, cerebrospinal fluid analysis, neurophysiology assessment, ophthalmologist examination and neuroimaging. Th e most important diagnostic tool in deriving the diagnosis of THS was neuroimaging evaluation that included baseline and follow-up cranial contrast enhanced magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.20471/acc.2017.56.02.18DOI Listing
June 2017
6 Reads

Approach to a Patient with Diplopia in the Emergency Department.

J Emerg Med 2018 06 14;54(6):799-806. Epub 2018 Feb 14.

Department of Ophthalmology & Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

Background: Diplopia can be the result of benign or life-threatening etiologies. It is imperative for the emergency physician to be proficient at assessing diplopia and recognize when urgent referral or neuroimaging is required.

Objective: The first part of this review highlights a simple framework to arrive at the appropriate disposition of diplopic patients presenting to the emergency department (ED). Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.12.045DOI Listing
June 2018
5 Reads

Orbital apex disorders: Imaging findings and management.

Neuroradiol J 2018 Apr 8;31(2):104-125. Epub 2018 Feb 8.

7 SUNY Upstate Medical University, Syracuse, NY, USA.

Orbital apex disorders include orbital apex syndrome, superior orbital fissure syndrome and cavernous sinus syndrome. These disorders result from various etiologies, including trauma, neoplastic, developmental, infectious, inflammatory as well as vascular causes. In the past, these have been described separately based on anatomical locations of disease process; however, these three disorders share similar causes, diagnostic evaluation and management strategies. Read More

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http://dx.doi.org/10.1177/1971400917740361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882062PMC
April 2018
19 Reads

[Clinical and imaging features and etiologic diagnosis value in patients with cavernous sinus lesion presenting with ophthalmoplegia].

Zhonghua Yi Xue Za Zhi 2018 Jan;98(3):202-207

Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

To classify different causes of cavernous sinus lesion in patients with ophthalmoplegia and analyze their clinical and imaging features. We confirmed the etiological diagnosis of 137 hospitalized ophthalmoplegia patients with cavernous sinus lesion retrospectively from January 2005 to January 2014 in the Department of Neurology of Beijing Tongren Hospital.The diagnosis was made according to clinical feature, laboratory test, imaging studies and pathology. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.03.009DOI Listing
January 2018
9 Reads

Invasive Streptococcus viridans sphenoethmoiditis leading to an orbital apex syndrome.

Am J Ophthalmol Case Rep 2017 Dec 21;8:4-6. Epub 2017 Jul 21.

University of Pittsburgh Medical Center, Department of Radiology, 200 Lothrop St, Pittsburgh, PA 15213, United States.

Purpose: Orbital apex syndrome due to spread of infectious sinusitis is a serious disease, often with an insidious presentation with few ophthalmic signs and symptoms. Failure to recognize and treat infectious orbital apex syndrome early portends a grave prognosis, including profound, permanent visual loss and potentially death. Herein we describe a representative case and discuss the relevant aspects of prompt diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ajoc.2017.07.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731554PMC
December 2017
6 Reads

Cavernous sinus syndrome associated with metastatic colorectal cancer and perineural spread along the trigeminal nerve.

Am J Ophthalmol Case Rep 2017 Jun 14;6:67-70. Epub 2017 Mar 14.

McGill University Health Centre, 1001 Boulevard Décarie, Montreal, Quebec, Canada.

Purpose: We report the case of a patient with cavernous sinus syndrome associated with biopsy-confirmed metastasis from colorectal cancer.

Observations: A patient known for laryngeal carcinoma and metastatic colorectal carcinoma presented with symptoms of left trigeminal neuralgia and progressive, near-complete ophthalmoplegia. Magnetic resonance imaging (MRI) revealed a mass in the left cavernous sinus, extending into Meckel's cave with perineural spread along the mandibular branch of the left trigeminal nerve. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24519936163026
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http://dx.doi.org/10.1016/j.ajoc.2016.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722136PMC
June 2017
14 Reads

Elusively reaching the apex.

Surv Ophthalmol 2017 Dec 15. Epub 2017 Dec 15.

Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, University of California, San Diego School of Medicine, La Jolla, California, USA; Department of Surgery, Division of Plastic Surgery, University of California, San Diego School of Medicine, La Jolla, California, USA.

A 64-year-old man presented with a 3-month history of diplopia and left-sided proptosis. Examination was significant for impairment of his left second, third, fourth, fifth, sixth, and seventh cranial nerves. Magnetic resonance imaging revealed a left orbital apex and cavernous sinus lesion. Read More

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http://dx.doi.org/10.1016/j.survophthal.2017.12.002DOI Listing
December 2017
5 Reads

Amelioration of acute orbital compartment syndrome following transvenous embolization for an indirect carotid-cavernous fistula: A case report.

Medicine (Baltimore) 2017 Dec;96(49):e9096

Department of Ophthalmology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).

Rationale: Orbital compartment syndrome (OCS) is a rare occurrence after transvenous embolization of indirect carotid-cavernous fistula (CCF). A lateral canthotomy and cantholysis are the most commonly performed surgical interventions. In our case, as the acute OCS occurred immediately after an uneventful transvenous embolization, an orbital floor orbitectomy was performed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201712080-0012
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000009096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728951PMC
December 2017
8 Reads

The dangers of the "Head Down" position in patients with untreated pituitary macroadenomas: case series and review of literature.

Pituitary 2018 Jun;21(3):231-237

Department of Neurologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Purpose: Cavernous sinus syndrome is a rare phenomenon, characterized by simultaneous neuropathies of cranial nerves III-VI. Various pathological processes have been reported as precipitating etiologies, including infection, inflammation, vascular lesions, and neoplasms.

Purpose: We report a unique case series of cavernous sinus syndrome attributable to prolonged Trendelenburg or prone positioning during non-cranial procedures and review the pertinent literature to enlighten on this rare but catastrophic phenomenon. Read More

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http://dx.doi.org/10.1007/s11102-017-0851-5DOI Listing
June 2018
17 Reads

Development of two surgical approaches to the pituitary gland in the Horse.

Vet Q 2018 Dec;38(1):21-27

b Department of Clinical Sciences , Colorado State University , Fort Collins , CO , USA.

Background: Current treatment of equine pituitary pars intermedia dysfunction (PPID) requires daily oral medication. Minimally invasive surgical palliation of this condition is appealing as a single treatment to alleviate the clinical signs of disease, dramatically improving the welfare of the horse.

Objective: To develop a surgical approach to the equine pituitary gland, for subsequent treatment of PPID. Read More

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http://dx.doi.org/10.1080/01652176.2017.1415488DOI Listing
December 2018
2 Reads

Tolosa-Hunt Syndrome: Appraising the ICHD-3 beta diagnostic criteria.

Cephalalgia 2018 09 23;38(10):1696-1700. Epub 2017 Nov 23.

1 Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Introduction The term Tolosa-Hunt Syndrome was first used more than half a century ago to describe painful ophthalmoplegia accompanied by cranial nerve palsies. In the decades since, its diagnostic criteria have evolved considerably. The beta version of the 3rd Edition of the International Classification of Headache Disorders narrows these criteria to require the demonstration of granulomatous inflammation on MRI or biopsy. Read More

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http://dx.doi.org/10.1177/0333102417745271DOI Listing
September 2018
8 Reads

Primary intraventricular haemorrhage due to rupture of giant varix of the basal vein of Rosenthal in a patient with long-standing direct CCF: angiographic features and treatment considerations.

BMJ Case Rep 2017 Nov 16;2017. Epub 2017 Nov 16.

Imaging Sciences & Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Direct carotid cavernous fistulae (CCF) are often detected early and treated promptly resulting in a paucity of literature regarding its long-term evolution. We present a case of high flow post-traumatic direct CCF that was neglected for over 6 years and presented with a rare manifestation of primary intraventricular haemorrhage. Occlusions of the primary venous outlets likely resulted in engorgement of the deep venous system. Read More

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http://dx.doi.org/10.1136/bcr-2017-013396DOI Listing
November 2017
6 Reads

Burkitt lymphoma and cavernous sinus syndrome with breast uptake on 18F-FDG-PET/CT: A case report.

Medicine (Baltimore) 2017 Nov;96(46):e8687

Department of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa.

Rationale: Burkitt lymphoma (BL) is a type of non-Hodgkin lymphoma that arises in the B-cells. Cavernous sinus involvement is rare, especially in adults. Here we report an unusual case of a 30-year-old HIV-positive woman with BL and cavernous sinus syndrome who also had intense bilateral breast uptake, related to menstrual cycle. Read More

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http://Insights.ovid.com/crossref?an=00005792-201711170-0006
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http://dx.doi.org/10.1097/MD.0000000000008687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704847PMC
November 2017
8 Reads

Carotid-cavernous fistula: current concepts in aetiology, investigation, and management.

Eye (Lond) 2018 02 3;32(2):164-172. Epub 2017 Nov 3.

Division of Neuro-Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.

A carotid-cavernous fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus and may be classified as either direct or dural. Direct CCFs are characterized by a direct connection between the internal carotid artery (ICA) and the cavernous sinus, whereas dural CCFs result from an indirect connection involving cavernous arterial branches and the cavernous sinus. Direct CCFs frequently are traumatic in origin and also may be caused by rupture of an ICA aneurysm within the cavernous sinus, Ehlers-Danlos syndrome type IV, or iatrogenic intervention. Read More

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http://dx.doi.org/10.1038/eye.2017.240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811734PMC
February 2018
6 Reads

Endoscopic endonasal approach for mass resection of the pterygopalatine fossa.

Clinics (Sao Paulo) 2017 Oct;72(9):554-561

Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine, Charles University, University Hospital Motol, V Úvalu 84, 150 06, Prague 5, Czech Republic.

Objectives: Access to the pterygopalatine fossa is very difficult due to its complex anatomy. Therefore, an open approach is traditionally used, but morbidity is unavoidable. To overcome this problem, an endoscopic endonasal approach was developed as a minimally invasive procedure. Read More

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http://dx.doi.org/10.6061/clinics/2017(09)06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629706PMC
October 2017
11 Reads

Septic thrombosis of cavernous sinus extended to the ipsilateral internal jugular vein and transversal sinus with favorable outcome: Clinical and radiological features of a Lemierre syndrome.

Authors:
Arnaud Martel

Orbit 2018 Apr 17;37(2):94-96. Epub 2017 Oct 17.

a Department of Ophthalmology , University Hospital of Nice , Nice , France.

An 86-year-old patient was hospitalized for fever and left acute orbital syndrome (red eye with moderate visual impairment, chemosis, ophthalmoplegia without proptosis, or any fundus involvement). CT scan showed superior ophthalmic vein and cavernous sinus enlargement complicating ipsilateral sphenoidal sinusitis. Magnetic resonance imaging (MRI) demonstrated the left cavernous sinus thrombosis extended to the ipsilateral jugular vein and transversal sinus (Lemierre syndrome). Read More

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http://dx.doi.org/10.1080/01676830.2017.1383458DOI Listing
April 2018
18 Reads

Tolosa-Hunt Syndrome - Cranial Neuroimaging Findings.

Noro Psikiyatr Ars 2017 Sep 1;54(3):251-254. Epub 2016 Sep 1.

Department of Radiology, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.

Introduction: The etiology of Tolosa-Hunt Syndrome (THS) is still unknown. The initial standard magnetic resonance imaging (MRI) may not be sufficient for diagnosis, so dynamic contrast-enhanced MRI may be necessary to demonstrate the presence of lesions.

Methods: Seven patients diagnosed with THS according to the International Headache Society criteria (beta version) were included into the study. Read More

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http://dx.doi.org/10.5152/npa.2016.13791DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5630104PMC
September 2017
9 Reads

Predictors of silent corticotroph adenoma recurrence; a large retrospective single center study and systematic literature review.

Pituitary 2018 Feb;21(1):32-40

Department of Medicine, Oregon Health & Science University, Portland, OR, USA.

Purpose: Silent corticotroph adenomas (SCAs) are clinically silent and non-secreting, but exhibit positive adrenocorticotropic hormone (ACTH) immunostaining. We characterized a single center cohort of SCA patients, compared the SCAs to silent gonadotroph adenomas (SGAs), identified predictors of recurrence, and reviewed and compared the cohort to previously published SCAs cases.

Methods: Retrospective review of SCA and SGA surgically resected patients over 10 years and 6 years, respectively. Read More

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http://dx.doi.org/10.1007/s11102-017-0844-4DOI Listing
February 2018
19 Reads

Radiosurgery in trochlear and abducens nerve schwannomas: case series and systematic review.

Acta Neurochir (Wien) 2017 12 11;159(12):2409-2418. Epub 2017 Oct 11.

Neurosciences Department, Neurosurgery Service and Gamma Knife Center, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, 1011, Lausanne, Switzerland.

Introduction: Schwannomas involving the occulomotor cranial nerves  (CNs; III, IV and VI), can be disabling, due to the associated diplopia and decreased quality of life and are extremely rare. We evaluated the role of Gamma Knife surgery (GKS) in these cases.

Methods: Five patients with CN IV and VI schwannomas (three and two, respectively) were treated in Lausanne University Hospital between 2010 and 2015. Read More

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http://dx.doi.org/10.1007/s00701-017-3348-0DOI Listing
December 2017
15 Reads