Orbital Apex Syndrome Secondary to Middle Cranial Fossa Meningocele: A Rare Pediatric Case
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Orbital apex syndrome (OAS) in a child was successfully treated. A rare middle cranial fossa meningocele compressing orbital structures was identified and surgically repaired, restoring vision and eye movement.
Area Of Science
- Neuro-ophthalmology
- Pediatric Neurology
- Radiology
Background
- Orbital apex syndrome (OAS) is a rare condition affecting neurovascular structures.
- It can cause sight-threatening and potentially life-threatening complications.
- Prompt diagnosis and intervention are crucial for preserving vision.
Purpose Of The Study
- To report a pediatric case of OAS.
- To highlight a rare etiology: middle cranial fossa meningocele (MEC).
- To emphasize multidisciplinary management and outcomes.
Main Methods
- Case report of a 10-year-old child with acute OAS symptoms.
- Diagnostic imaging (CT/MRI) to identify MEC and associated sinusitis/meningitis.
- Multidisciplinary team approach involving ophthalmology, neurology, ENT, and radiology.
- Treatment with intravenous antibiotics followed by surgical repair (cranial osteoplasty).
Main Results
- The patient presented with proptosis, ophthalmoplegia, and optic disc edema.
- Imaging confirmed MEC extending into the orbital apex.
- Intravenous antibiotics led to rapid systemic and ocular improvement.
- Surgical repair resulted in normal visual acuity and largely recovered extraocular movements at follow-up.
Conclusions
- Middle cranial fossa meningoceles are a rare but important cause of OAS.
- Early recognition and collaborative, multidisciplinary management are key.
- Successful outcomes are achievable with timely intervention and surgical repair.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
Unsymmetrical bending occurs when the bending moment applied to a structural member does not align with its principal axis. This misalignment leads to complex stress distributions and deflection patterns that differ from symmetrical bending, which are essential for designing structures to withstand different loading conditions.
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...