Painful ophthalmoplegia - a hospital based prospective observational study from south Kerala
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction and Objectives Painful ophthalmoplegia is a clinical syndrome due to various underlying causes The objective of the study is to determine the underlying pathological entities responsible for this potentially fatal condition Various primary headache syndromes facial pain syndromes and post traumatic and postsurgical pain syndromes were ruled out clinicallyMaterials and Methods 107 patients satisfying our research definition of painful opthalmoplegia were enrolled in this study The data was collected and analyzed systematicallyResults and Interpretation The common etiological causes for painful ophthalmoplegia are idiopathic inflammation of orbit 22 patients 205 Tolosa hunt syndrome 13 patients 1121 followed by orbital cellulitis 11 patients 1028 fungal granuloma and mononeuritis multiplex 10 patients each 934 granulomatosis with polyangiitis and tuberculous granuloma 5patients each467Conclusions most cases of painful opthalmoplegia are amenable to medical management provided an early and prompt diagnosis is made using appropriate diagnostic toolsKeywords Opthalmoplegia Periorbital pain Tolosa hunt syndrome Superior orbital fissure Cavernous sinus Orbital apex Fungal granuloma Tuberculous granuloma
Authors and Affiliations
Kabeer Kaithadiyil Abdul Khayar Kutty, Sunil Das, Jyolhish Sivananda Panicker, Sreedevi P.
Globus hystericus - lump in throat for patient and challenge for doctor
Lump in throat sensation expressed by patients is real and needs a thorough investigations of upper aero digestive tract. Larygopharyngeal reflux was found to be most common cause followed by emotional instability (femal...
Candidal meningitis in disseminated candidiasis by Candida tropicalis - A rare case report from India
IntroductionCandida spp are the normal flora of human body and do not cause CNS disease unless there is some immune disturbance The prevalence of non albicans species differed significantly in various geographic areas Ca...
Conversion Disorder presenting as Camptocormia: A case report
Background: Camptocormia is characterized by an abnormal posture of the trunk with marked flexion of the thoraco-lumbar spine, which increases during walking and abates in the recumbent position. The disorder is rarely s...
Von Hippel–Lindau (VHL) disease: A case report
Von Hippel–Lindau (VHL) disease is an autosomal dominant disorder which is associated with multiple tumors and cysts in the central nervous system (CNS) and other visceral organs. The most commonly seen tumors are hemang...
Intracranial ganglioglioma: A rare case report
Gangliogliomas are considered rare tumors which account for 0.4-0.9% of intracranial neoplasms. The peak of its incidence occurs between 10 and 20 years of age. These tumors are composed of glial and ganglion cells and t...