1,099 results match your criteria Cavernous Sinus Syndromes


[Pituitary adenomas].

Nervenarzt 2019 Apr 17. Epub 2019 Apr 17.

Klinik für Neurochirurgie, Universitätsklinikum Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Deutschland.

Despite characteristic symptoms the diagnosis of clinically relevant pituitary adenomas is often delayed until an advanced stage due to the rarity of the disease. The typical clinical manifestations are presented in this review article. The recent discovery of the USP8 mutation in Cushing's disease and of X‑linked acrogigantism (X-LAG) syndrome in early onset gigantism were milestones in the search for the molecular etiology of pituitary adenomas. Read More

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http://link.springer.com/10.1007/s00115-019-0708-4
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http://dx.doi.org/10.1007/s00115-019-0708-4DOI Listing
April 2019
2 Reads

Clinicopathological features and microsurgical management of lesions located in the cavernous sinus: Analysis of 66 cases.

Turk Neurosurg 2018 Nov 7. Epub 2018 Nov 7.

The First Affiliated Hospital of Zhengzhou University.

Aim: The aim of this study was to investigate the clinicopathological features and related factors affecting microsurgical resection of lesions in the cavernous sinus.

Material And Methods: Clinical data of 66 patients undergoing microsurgery for lesions located in the cavernous sinus from January 2011 to December 2017 were retrospectively reviewed.

Results: Histopathological examination revealed benign lesions in 60 (90. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.24341-18.3DOI Listing
November 2018

Tolosa-Hunt Syndrome: Clinical Manifestations in Children.

Pediatr Neurol 2019 Feb 20. Epub 2019 Feb 20.

Pediatric Department, University Hospital Of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece. Electronic address:

Background: Tolosa-Hunt syndrome (THS) is a rare condition in children characterized by painful ophthalmoplegia caused by inflammation of unknown etiology in the cavernous sinus, superior orbital fissure, or orbital apex. Our main purpose was to report two pediatric cases of THS, a typical one and another extremely rare one preceded by facial palsy.

Methods: Both cases were diagnosed with THS based on the 2013 International Classification of Headache Disorders (ICHD-3 beta) criteria. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08878994183072
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http://dx.doi.org/10.1016/j.pediatrneurol.2019.02.013DOI Listing
February 2019
5 Reads

Cavernous sinus-orbital apex aspergillus infection in a diabetic patient: A case report.

Medicine (Baltimore) 2019 Mar;98(13):e15041

Department of Neurology, Southwest Hospital, The Third Military Medical University, Army Medical University, Chongqing, China.

Rationale: Cavernous sinus-orbital apex aspergillosis is a rare but serious complication of rhinosinusitis. Pathology results are scarce, and this condition is difficult to diagnose based on clinical and radiological results.

Patient Concerns: A 64-year-old woman presented with cavernous sinus-orbital apex syndrome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015041DOI Listing
March 2019
2 Reads

Response to Ricciardi M. Letter to the Editor. "Cavernous sinus syndrome" or "middle cranial fossa syndrome": Consideration on terminology.

Vet Radiol Ultrasound 2019 Mar 18. Epub 2019 Mar 18.

Section of Anatomic Pathology, Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.

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http://dx.doi.org/10.1111/vru.12734DOI Listing

Spontaneous perforation of small intestine followed by rupture of the cystic artery: the natural history of Vascular Ehlers-Danlos Syndrome.

Autops Case Rep 2019 Jan-Mar;9(1):e2018054. Epub 2019 Jan 17.

Mount Sinai Medical Center, AM Rywlin MD Department of Pathology and Laboratory Medicine. Miami Beach, FL, United States of America.

Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant disorder caused by mutations in the or genes. Its mortality is secondary to sudden and spontaneous rupture of arteries or hollow organs. The genotype influences the distribution of arterial pathology with aneurysms of intra-abdominal visceral arteries being relatively uncommon. Read More

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http://www.autopsyandcasereports.org/article/doi/10.4322/acr
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http://dx.doi.org/10.4322/acr.2018.054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394365PMC
January 2019
8 Reads

Asymmetric cavernous sinus enlargement: a novel finding in Sturge-Weber syndrome.

Neuroradiology 2019 May 12;61(5):595-602. Epub 2019 Feb 12.

Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy.

Purpose: Enlargement of deep cerebral veins and choroid plexus engorgement are frequently reported in Sturge-Weber syndrome. We aim to describe cavernous sinus involvement in patients with this syndrome and to identify possible clinical-neuroimaging correlations.

Methods: Sixty patients with Sturge-Weber syndrome (31 females, mean age 4. Read More

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http://link.springer.com/10.1007/s00234-019-02182-4
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http://dx.doi.org/10.1007/s00234-019-02182-4DOI Listing
May 2019
15 Reads

Carotid-cavernous fistula(CCF) presenting as paroxysmal painful ophthalmoplegia.

BMC Ophthalmol 2019 Feb 11;19(1):48. Epub 2019 Feb 11.

Department of Neurology, Shandong Provincial Hospital affiliated to Shandong University, No 324, Jingwu Road, Huaiyin Zone, Jinan, Shandong Province, 250012, People's Republic of China.

Background: Painful ophthalmoplegia can be caused by various etiologies, and broad differential diagnosis is needed. Carotid-cavernous fistula (CCF) is a rare cause of painful ophthalmoplegia, and early diagnosis is quite difficult.

Case Presentation: Here, we present a case of paroxysmal painful ophthalmoplegia caused by CCF. Read More

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http://dx.doi.org/10.1186/s12886-019-1039-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371611PMC
February 2019
2 Reads

Antiphospholipid syndrome and neurofibromatosis type I: a coincidence or new association?

Arq Bras Oftalmol 2019 Mar-Apr;82(2):155-157

Department of Neuro-radiology, Sheikh Khalifa Hospital, Abu Dhabi, UAE.

Numerous studies have reported on structural vascular anomalies and ischemia associated with neurofibromatosis type 1 that are thought to stem from dysfunction of neurofibromin, the neurofibromatosis type 1 protein. Documented cases of associated antiphospholipid syndrome fulfilling the accepted diagnostic criteria are exceptionally rare, with only three cases reported in the literature. Here, we report on a patient with neurofibromatosis type 1 and a history of spontaneous abortions presenting with sudden vision loss in the right eye and swelling of the optic nerve head. Read More

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http://www.gnresearch.org/doi/10.5935/0004-2749.20190032
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http://dx.doi.org/10.5935/0004-2749.20190032DOI Listing
August 2018
18 Reads

[Neuro-ophthalmological symptoms of intracranial dural arteriovenous fistulas].

Zh Vopr Neirokhir Im N N Burdenko 2018;82(6):82-88

Burdenko Neurosurgical Institute, Moscow, Russia.

Objective: The study objective was to identify the main neuro-ophthalmological symptoms of intracranial dural arteriovenous fistulas (dAVFs) with different localization, based on clinical and angiographic correlations.

Material And Methods: We analyzed neuro-ophthalmological symptoms in 272 patients with dAVFs verified by direct angiographic examination. The localization of dAVFs was as follows: the cavernous sinus (CS) - 143 patients, the lateral sinuses (LSs) and the confluence of sinuses - 77 patients, and other locations - 52 patients. Read More

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http://dx.doi.org/10.17116/neiro20188206182DOI Listing
January 2018

Persistent primitive trigeminal artery associated with a cavernous carotid aneurysm. Case report and literature review.

J Radiol Case Rep 2018 Nov 30;12(11):1-11. Epub 2018 Nov 30.

Department of Radiology, Sengkang General Hospital, Singapore.

The persistent primitive trigeminal artery is the most common persistent carotid-vertebrobasilar anastomosis. Patients are usually asymptomatic and the persistent primitive trigeminal artery is commonly found incidentally on imaging. Rarely, they may present with symptoms of neurovascular conflict or cranial nerve compression syndromes as the artery may be intimately related to the cranial nerves. Read More

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http://dx.doi.org/10.3941/jrcr.v12i11.3500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312121PMC
November 2018
1 Read

Cerebral Venous Sinus Thrombosis in Systemic Lupus Erythematosus.

Acta Med Indones 2018 Oct;50(4):343-345

Department of Internal Medicine, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.

A 38-year-old woman presented with general weakness and vaginal bleeding. One month prior, she had been diagnosed with Evans syndrome (haemolytic anemia with positive Coombs test and thrombocytopenia) and was given oral steroid as maintenance therapy. Her serology examination was negative for hepatitis B, hepatitis C, and human immunodeficiency virus (HIV). Read More

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October 2018
13 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S24056502183004
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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
March 2019
11 Reads

[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
3 Reads

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
4 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
13 Reads

Swollen and bloodshot eye following headache.

Am J Emerg Med 2019 Feb 7;37(2):378.e7-378.e9. 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
February 2019
18 Reads

Selective Shunt Occlusion of Direct Carotid-Cavernous Fistula with Vascular Ehlers-Danlos Syndrome by Multidevice Technique: A Case Report and Technical Note.

World Neurosurg 2019 Feb 2;122:123-128. Epub 2018 Nov 2.

Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Background: Vascular Ehlers-Danlos syndrome (vEDS) is a vascular disease associated with a genetic collagen abnormality. It is characterized by vessel fragility, vessel rupture, and massive hemorrhage. Carotid-cavernous fistula (CCF) is the most frequent neurovascular complication of vEDS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183245
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http://dx.doi.org/10.1016/j.wneu.2018.10.158DOI Listing
February 2019
13 Reads

Pediatric Congenital Cerebrovascular Anomalies.

J Neuroimaging 2019 Mar 31;29(2):165-181. 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
March 2019
25 Reads

[Oculomotor nerve compression on MRI in a 56-year-old man with pituitary apoplexy due to panhypophisitis].

Rinsho Shinkeigaku 2018 Nov 27;58(11):668-672. Epub 2018 Oct 27.

Department of Neurology, Dokkyo Medical University.

A 56-year-old man noted sudden onset of headache, fever, right pupil-spared oculomotor nerve palsy and consciousness disturbance. Swelling of pituitary with T high intensity on brain MRI suggested the diagnosis of pituitary apoplexy. Considering significant decrease of pituitary anterior lobe hormone and central diabetes insipidus, high dose of hydrocortisone was administered. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001192DOI Listing
November 2018
5 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
4 Reads

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
9 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
15 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
7 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
17 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
7 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
6 Reads

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

Authors:
Mario Ricciardi

Vet Radiol Ultrasound 2019 Mar 13;60(2):135. 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
March 2019
1 Read

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
5 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
7 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 06 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
9 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
8 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
8 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
6 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
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http://dx.doi.org/10.1080/01658107.2017.1365268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958970PMC
June 2018
13 Reads

Woman with headache and retro-orbital pain.

Eur J Intern Med 2018 11;57:e6-e7

Diagnosezentrum Lahr, Turmstrasse 21, 77933 Lahr, Germany.

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http://dx.doi.org/10.1016/j.ejim.2018.05.006DOI Listing
November 2018
2 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
7 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
19 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
9 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
19 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
5 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
7 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
8 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
7 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
20 Reads