A case of sinusitis presenting with spheno-cavernous syndrome: discussion of the differential diagnosis
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N J Watson1, A D Dick, C H Hutchinson
1Department of Ophthalmology, Medical School, University of Aberdeen, Foresterhill.
Scottish Medical Journal
|December 1, 1991
Abstract:
A 60 year old gentleman presented with a left spheno-cavernous syndrome resulting in impaired ocular motility, proptosis and visual loss in an otherwise clinically quiet eye. The history led to a clinical suspicion of posterior ethmoiditis, which was confirmed on C.T. scanning. Surgical drainage and antibiotic treatment resolved the symptoms, but visual impairment persisted. The differential diagnosis and management of spheno-cavernous syndrome is discussed in context with this atypical presentation of orbital cellulitis.