Suspected retroorbital inflammation resulting in bilateral occlusion of the internal carotid arteries

•Unusual presentation of retro-orbital inflammation with bilateral occlusion ICA•Presentation; retroorbital pain, loss of vision, without external ophthalmoplegia•Neuroimaging consistent with an inflammatory process of cavernous sinus•Thorough workup is the basis for diagnosis and timely initiation...

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Bibliographic Details
Published in:Journal of the neurological sciences 2017-09, Vol.380, p.51-53
Main Authors: Galluzzo, D., Bulsara, K., Fulbright, R.K., Baehring, J.M.
Format: Article
Language:English
Subjects:
Carotid occlusion
Inflammation
MRI
Retro-orbital
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Description
Summary:•Unusual presentation of retro-orbital inflammation with bilateral occlusion ICA•Presentation; retroorbital pain, loss of vision, without external ophthalmoplegia•Neuroimaging consistent with an inflammatory process of cavernous sinus•Thorough workup is the basis for diagnosis and timely initiation of therapy.•Biopsy cautiously, empiric therapy required to prevent permanent neurologic injury
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2017.06.039