An unusual case of total ophthalmoplegia
An eight-year-old male child presented with drooping of the left eyelid with a history of penetrating injury of hard palate by an iron spoon seven days ago, which had already been removed by the neurosurgeon as the computed tomography scan revealed a spoon in the left posterior ethmoid and sphenoid...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2009;volume=57;issue=5;spage=389;epage=391;aulast=Chowdhury |
| _version_ | 1811331243096145920 |
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| author | Chowdhury Ravindra Gupta Navnit Padhy Krishna |
| author_facet | Chowdhury Ravindra Gupta Navnit Padhy Krishna |
| author_sort | Chowdhury Ravindra |
| collection | DOAJ |
| description | An eight-year-old male child presented with drooping of the left eyelid with a history of penetrating injury of hard palate by an iron spoon seven days ago, which had already been removed by the neurosurgeon as the computed tomography scan revealed a spoon in the left posterior ethmoid and sphenoid bone penetrating into the middle cranial fossa. On examination, visual acuity was 20/20 in each eye and left eye showed total ophthalmoplegia. Oral cavity revealed a hole in the left lateral part of the hard palate. We managed the case with tapering dose of systemic prednisolone. The total ophthalmoplegia was markedly improved in one month. Cases of foreign bodies in the orbit with intracranial extension are not unusual, but the path this foreign body traveled through the hard palate without affecting the optic nerve, internal carotid artery or cavernous sinus makes an interesting variation. |
| first_indexed | 2024-04-13T16:16:41Z |
| format | Article |
| id | doaj.art-d94497a0c0f74d50bb2c7086b038ea90 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-13T16:16:41Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-d94497a0c0f74d50bb2c7086b038ea902022-12-22T02:40:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892009-01-01575389391An unusual case of total ophthalmoplegiaChowdhury RavindraGupta NavnitPadhy KrishnaAn eight-year-old male child presented with drooping of the left eyelid with a history of penetrating injury of hard palate by an iron spoon seven days ago, which had already been removed by the neurosurgeon as the computed tomography scan revealed a spoon in the left posterior ethmoid and sphenoid bone penetrating into the middle cranial fossa. On examination, visual acuity was 20/20 in each eye and left eye showed total ophthalmoplegia. Oral cavity revealed a hole in the left lateral part of the hard palate. We managed the case with tapering dose of systemic prednisolone. The total ophthalmoplegia was markedly improved in one month. Cases of foreign bodies in the orbit with intracranial extension are not unusual, but the path this foreign body traveled through the hard palate without affecting the optic nerve, internal carotid artery or cavernous sinus makes an interesting variation.http://www.ijo.in/article.asp?issn=0301-4738;year=2009;volume=57;issue=5;spage=389;epage=391;aulast=ChowdhuryIntracranial foreign bodysuperior orbital fissure syndrometraumatic ophthalmoplegia. |
| spellingShingle | Chowdhury Ravindra Gupta Navnit Padhy Krishna An unusual case of total ophthalmoplegia Indian Journal of Ophthalmology Intracranial foreign body superior orbital fissure syndrome traumatic ophthalmoplegia. |
| title | An unusual case of total ophthalmoplegia |
| title_full | An unusual case of total ophthalmoplegia |
| title_fullStr | An unusual case of total ophthalmoplegia |
| title_full_unstemmed | An unusual case of total ophthalmoplegia |
| title_short | An unusual case of total ophthalmoplegia |
| title_sort | unusual case of total ophthalmoplegia |
| topic | Intracranial foreign body superior orbital fissure syndrome traumatic ophthalmoplegia. |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2009;volume=57;issue=5;spage=389;epage=391;aulast=Chowdhury |
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