A CASE OF CHRONIC SPHENOIDITIS WITH NEUROLOGIC AND OPHTHALMOLOGIC COMPLICATIONS

A CASE OF CHRONIC SPHENOIDITIS WITH NEUROLOGIC AND OPHTHALMOLOGIC COMPLICATIONS

A case of chronic sphenoidal sinusitis in a girl of 9 years old is proposed; in clinical picture oculomotor dysfunction occurred (ptosis, strabismus divergent, diplopia, epiphora). The condition was masked by neurological symptoms, and so initial differential diagnosis was between 1) ocular form of...

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Bibliographic Details
Main Authors: M. Yu. Bobylova, A. A. Alikhanov, A. A. Demushkina, M. B. Melnikova, G. N. Dunaevskaya
Format: Article
Language:Russian
Published: ABV-press 2015-07-01
Series:Russkij Žurnal Detskoj Nevrologii
Subjects:
chronic sphenoidal sinusitis
pansinusitis
diplopia
oculomotor dysfunction
ptosis
enophthalmos
epiphora
strabismus divergen
Online Access:https://rjdn.abvpress.ru/jour/article/view/80
Description
Summary:A case of chronic sphenoidal sinusitis in a girl of 9 years old is proposed; in clinical picture oculomotor dysfunction occurred (ptosis, strabismus divergent, diplopia, epiphora). The condition was masked by neurological symptoms, and so initial differential diagnosis was between 1) ocular form of myopathy (including mitochondrial diseases), 2) ocular form of myasthenia and 3) onset of multiple sclerosis. The definite diagnosis «pansinusitis» was proposed by neurologist only after attentive analysis of clinical symptoms and data of MRI, only since 1,5 year after beginning of the disease. This clinical case demonstrates the complexity of differential diagnosis of chronic sphenoidal sinusitis in children and necessity of developed clinical thinking for a doctor of every speciality
ISSN:2073-8803
2412-9178

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