Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy

Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy

Purpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis. Observatio...

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Main Authors: Nathan D. Wilbanks, Oliver R. Filutowski, Michael D. Maldonado, Zeynel A. Karcioglu
Format: Article
Language:English
Published: Elsevier 2018-09-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S245199361730395X
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spelling doaj-efc8708c30d34a24a0553b897b4353092020-11-25T00:13:17ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-09-011169Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boyNathan D. Wilbanks0Oliver R. Filutowski1Michael D. Maldonado2Zeynel A. Karcioglu3Department of Ophthalmology, University of Virginia, 1300 Jefferson Park Ave, Charlottesville, VA, 22908, USA; Corresponding author. 1339 E Market St, Charlottesville, VA, 22908, USA.University of Virginia School of Medicine, 1215 Lee St, Charlottesville, VA, 22908, USADepartment of Radiology, Division of Neuroradiology, University of Virginia, 1215 Lee St, Charlottesville, VA, 22908, USADepartment of Ophthalmology, University of Virginia, 1300 Jefferson Park Ave, Charlottesville, VA, 22908, USAPurpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis. Observations: We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal infection. Magnetic resonance imaging (MRI) revealed pansinusitis and contralateral otitis media with direct extension into the superior aspect of the left orbit affecting the levator palpebrae superioris muscle. Conclusions and importance: This finding on imaging disclosed the etiology of an otherwise unexplained case of upper lid ptosis. Keywords: Ptosis, Pansinusitis, Orbital cellulitis, Otitis mediahttp://www.sciencedirect.com/science/article/pii/S245199361730395X
collection DOAJ
language English
format Article
sources DOAJ
author Nathan D. Wilbanks
Oliver R. Filutowski
Michael D. Maldonado
Zeynel A. Karcioglu
spellingShingle Nathan D. Wilbanks
Oliver R. Filutowski
Michael D. Maldonado
Zeynel A. Karcioglu
Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
American Journal of Ophthalmology Case Reports
author_facet Nathan D. Wilbanks
Oliver R. Filutowski
Michael D. Maldonado
Zeynel A. Karcioglu
author_sort Nathan D. Wilbanks
title Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
title_short Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
title_full Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
title_fullStr Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
title_full_unstemmed Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
title_sort isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy
publisher Elsevier
series American Journal of Ophthalmology Case Reports
issn 2451-9936
publishDate 2018-09-01
description Purpose: Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis. Observations: We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal infection. Magnetic resonance imaging (MRI) revealed pansinusitis and contralateral otitis media with direct extension into the superior aspect of the left orbit affecting the levator palpebrae superioris muscle. Conclusions and importance: This finding on imaging disclosed the etiology of an otherwise unexplained case of upper lid ptosis. Keywords: Ptosis, Pansinusitis, Orbital cellulitis, Otitis media
url http://www.sciencedirect.com/science/article/pii/S245199361730395X
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AT michaeldmaldonado isolatedleftuppereyelidptosiswithpansinusitisandcontralateralotitismediaina9yearoldboy
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