scholarly journals Differential Diagnoses of Diseases Involving the Extrinsic Ocular Musculature – A Pictorial Essay

Author(s):  
Larissa Marques Santana ◽  
Larissa de Aguiar Martins ◽  
Marcos Rosa-Júnior

Abstract Introduction There are some inflammatory, infectious, and neoplastic diseases affecting the extrinsic orbital musculature (EOM) that present with pain, decreased visual acuity, and proptosis. Imaging is fundamental to the differential diagnoses of these diseases with similar clinical presentations. The present case series report has as main objective to illustrate and discuss the main pathologies that affect the orbit. Material and methods The present series of cases discusses the main pathologies that can affect the extraocular musculature that can be characterized by computed tomography (CT) or magnetic resonance imaging (MRI) using cases from our institution. Results and Discussion The present study compiled several cases of ophthalmopathy from our institution to illustrate and address some of these pathologies, such as orbital lymphoma, Grave disease, metastases, periorbital cellulitis, and idiopathic orbital inflammatory syndrome. The diseases are discussed according to the presentation of clinical cases with emphasis on the main imaging findings of each pathology. Conclusion Computed tomography and MRI can help in the diagnosis and follow-up of the diseases that affect the EOM. We must be conversant with the main characteristics of the pathologies presented in the present case series report, since such findings together with clinical data can confirm the diagnosis of these diseases or at least help to narrow the differential diagnoses.

2020 ◽  
Vol 11 (12) ◽  
pp. 375-378
Author(s):  
Miguel Garcia-Dominguez ◽  
Yanin Angeles-Meneses ◽  
Angelica Lares-Payan ◽  
Carlos Alberto Velazquez-Rios ◽  
Edgardo Tostado Morales ◽  
...  

2021 ◽  
pp. 088307382198916
Author(s):  
Francisca Sandoval ◽  
Katherine Julio ◽  
Gastón Méndez ◽  
Carolina Valderas ◽  
Alejandra C. Echeverría ◽  
...  

Introduction: Although multiple neurologic manifestations associated with SARS-CoV-2 infection have been described in adults, there is little information about those presented in children. Here, we described neurologic manifestations associated with COVID-19 in the pediatric population. Methods: Retrospective case series report. We included patients younger than 18 years, admitted with confirmed SARS-CoV-2 infection and neurologic manifestations at our hospital in Santiago, Chile. Demographics, clinical presentations, laboratory results, radiologic and neurophysiological studies, treatment, and outcome features were described. Cases were described based on whether they presented with predominantly central or peripheral neurologic involvement. Results: Thirteen of 90 (14.4%) patients admitted with confirmed infection presented with new-onset neurologic symptoms and 4 patients showed epilepsy exacerbation. Neurologic manifestations ranged from mild (headache, muscle weakness, anosmia, ageusia), to severe (status epilepticus, Guillain-Barré syndrome, encephalopathy, demyelinating events). Conclusions: We found a wide range of neurologic manifestations in children with confirmed SARS-CoV-2 infection. In general, neurologic symptoms were resolved as the systemic presentation subsided. It is essential to recognize and report the main neurologic manifestations related to this new infectious disease in the pediatric population. More evidence is needed to establish the specific causality of nervous system involvement.


2013 ◽  
Vol 271 (7) ◽  
pp. 1851-1856 ◽  
Author(s):  
B. K. Mukara ◽  
P. Munyarugamba ◽  
S. Dazert ◽  
J. Löhler

2012 ◽  
Vol 38 (10) ◽  
pp. 1435-1442 ◽  
Author(s):  
Mohamed I. Fayad ◽  
Paul J. Ashkenaz ◽  
Bradford R. Johnson

2018 ◽  
Vol 58 (1) ◽  
pp. 88-94 ◽  
Author(s):  
Kimberly K. Monroe ◽  
Alexandra Rubin ◽  
Kerry P. Mychaliska ◽  
Maria Skoczylas ◽  
Heather L. Burrows

Lotus birth is the practice of leaving the umbilical cord uncut until separation occurs naturally. Our case series report describes delivery characteristics, neonatal clinical course, cord and placenta management, maternal reasons for a lotus birth, and desire for future lotus births. Between April 2014 and January 2017, six lotus births occurred. Mothers (four of the six) were contacted by phone after giving birth. A chart review was completed on each patient to evaluate if erythromycin ointment, hepatitis B vaccine, and vitamin K (intramuscular or oral) were administered, treatment of the placenta, maternal group B streptococcus status, postnatal infant fevers, infant hemoglobin or hematocrit levels, jaundice requiring phototherapy, and infant readmissions. Three of the six families decided to cut the cord before hospital discharge. No infections were noted. All contacted mothers would elect for a lotus birth again (4/6). One hepatitis B vaccine was given; all others declined perinatal immunization.


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