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2020, Number 1

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Rev Acta Médica 2020; 21 (1)

Sphenoidal fissure syndrome

Cand HCM, Díaz MÁ, Ventura CA, Murillo CD
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Language: Spanish
References: 6
Page: 1-5
PDF size: 244.36 Kb.


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ABSTRACT

The case is presented of an 84-year-old woman with anemia, inguinal lymphadenopathy, painless proptosis of the left eye, and loss of vision on that side, with paralysis of the cranial nerves II, III, VI and the trigeminal ophthalmic branch. Imaging studies revealed a tumor mass in the frontal lobe, while lymph node biopsy revealed non-Hodgkin lymphoma with multifocal lymphoid infiltration through bone marrow biopsy, which is a rare clinical presentation. Chemotherapy was initiated and improvement was achieved for the ocular paralysis and the ptosis, together with the reduction of the magnitude of inguinal adenopathies.


REFERENCES

  1. Elder C, Hainline C, Galetta SL, Balcer LI, Rucker JC. Isolated abducens nerve palsy. Update on evaluation and diagnosis. Curr Neurol Neurosci Rep. 2016;16: 69-73.

  2. Case Records of the Massachusetts General Hospital (Case 4-1993: A 73-year-old man with facial pain and decreased visual acuity). N Engl J Med. 1993; 328: 266-75.

  3. Case Records of the Massachusetts General Hospital (Case 18-2015: A 41-Year-Old Woman with Decreased Vision in the Left Eye and Diplopia). N Engl J Med. 2015;372:2337-45.

  4. D’Addino JL, Pigni MM, Caubet MM, Mayorga H, Paris V. Síndrome de la fisura orbitaria superior post-fractura grave de órbita. Rev Argent Cirug. 2013;104:62-4.

  5. Girodon M, Levasseur J, Wajszczak BL, Ernoult C, Zwetyenga N. Traumatic superior orbital fissure syndrome. Rev Stomatol Chir Maxillofac Chir Orale. 2016;117:340-50.

  6. Zarranz JJ. Neurología. 6.a ed. Madrid: Elsevier; 2018. p. 81-103.




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Rev Acta Médica. 2020;21