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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2009, Number 3

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An Med Asoc Med Hosp ABC 2009; 54 (3)

Oculomotor nerve paralysis and orbital myositis secondary to ethmoidal mucocele

Yánez GC, Mora SN
Full text How to cite this article

Language: Spanish
References: 8
Page: 170-175
PDF size: 135.70 Kb.


Key words:

Palsy, oculomotor nerve, eyelid ptosis, sinusitis, sinus disease, endoscopic surgery.

ABSTRACT

Orbital myositis is a common cause of extraocular muscle enlargement. It is characterized by non specific inflamation of one or more extraocular muscles. Although often idiopathic in origin, orbital myositis has been associated with various non infectious diseases. Several cases have also been reported as occurring after upper respiratory tract infections. The present report describes a case of orbital myositis together with oculomotor palsy secondary to a subclinical sinusitis. It recurred after maximal antibiotic therapy. An ethmoidal infundibulum mucocele was found during endoscopic sinus surgery. The literature on this clinical entity is also reviewed.


REFERENCES

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  2. Mombaerts I, Koomneef L. Current status in the treatment of orbital myositis. Ophthalmology 1997; 104 (3): 402-408.

  3. Mannor GE, Rose GE, Moseley IF et al. Outcome of orbital myositis. Clinical features associated with recurrence. Ophthalmology 1997; 104 (3): 409-13: 414.

  4. Siatkowski RM, CapoH, Byrne SF et al. Clinical and echographic findings in idiopathic orbital myositis. Am J Ophthalmol 1994; 118 (3): 343–50.

  5. Pollard ZF. Acute rectus muscle palsy in children as a result of orbital myositis. J Pediatr 1996; 128 (2): 230–233.

  6. Albert DM, Jakobiec FA et al. Principles and practice of Ophthalmology. Philadelphia, PA: WB Saunders; 1994. p. 1923-1933.

  7. Seidenberg KB, Leib ML. Orbital myositis with Lyme disease. Am J Ophthalmology 1990; 15: 109 (1): 13-16.

  8. Serop S, Vianna RN, Claeys M et al. Orbital myositis secondary to systemic lupus erythematosus. Act Ophthalmol (Copen) 1994; 72 (4): 520-523.




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An Med Asoc Med Hosp ABC. 2009;54