Resharing the video showing pulsatile #proptosis. Note that the ocular pulsations are obvious but the proptosis and chemosis are minimal, a clue pointing towards the clinical diagnosis of an indirect Caroticocavernous fistula. #OphthalmologyPearls | Ophthalmology Pearls
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Resharing the video showing pulsatile #proptosis. Note that the ocular pulsations are obvious but the proptosis and chemosis are minimal, a clue pointing towards the clinical diagnosis of an indirect Caroticocavernous fistula. #OphthalmologyPearls | Ophthalmology Pearls
11.9K viewsDec 18, 2017
FacebookOphthalmology Pearls
Case study 73 - intraosseous meningioma Intraosseous meningioma, also referred to as primary intraosseous meningioma, is a rare subtype of meningioma that accounts for less than 1% of all osseous tumors. Clinical presentation is usually due to mass effect, the manifestations of which will depend on the location. The calvaria and vertebral column are the most frequent sites. Presentations include: * palpable or visible bony mass * proptosis * cranial nerve / spinal cord compression * intracranial
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Case study 73 - intraosseous meningioma Intraosseous meningioma, also referred to as primary intraosseous meningioma, is a rare subtype of meningioma that accounts for less than 1% of all osseous tumors. Clinical presentation is usually due to mass effect, the manifestations of which will depend on the location. The calvaria and vertebral column are the most frequent sites. Presentations include: * palpable or visible bony mass * proptosis * cranial nerve / spinal cord compression * intracranial
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A proptosed eye that can still move? That’s a BIG prognostic clue 👁️ When assessing a proptosis case, I’m immediately thinking about cranial nerve function: 👁 CN III – Oculomotor nerve 👁 CN IV – Trochlear nerve 👁 CN VI – Abducens nerve If the globe can still move, those extraocular muscles — and the nerves supplying them — may still be intact. And that significantly improves the likelihood of visual and cosmetic salvage. No movement? I’m much more concerned about: • Severe extraocular muscle
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A proptosed eye that can still move? That’s a BIG prognostic clue 👁️ When assessing a proptosis case, I’m immediately thinking about cranial nerve function: 👁 CN III – Oculomotor nerve 👁 CN IV – Trochlear nerve 👁 CN VI – Abducens nerve If the globe can still move, those extraocular muscles — and the nerves supplying them — may still be intact. And that significantly improves the likelihood of visual and cosmetic salvage. No movement? I’m much more concerned about: • Severe extraocular muscle
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