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Japanese

A case of orbital apex syndrome with isolated fracture of sphenoid bone Noriaki Yamamoto 1 , Yoshie Kato 1 1Dept of Ophthalmol Gamagori City Hospital pp.133-137
Published Date 1996/2/15
DOI https://doi.org/10.11477/mf.1410904726
  • Abstract
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A 59-year-old male suffered facial injury two days before when falling from the height of 2 meters. He manifested mydriasis, visual acuity of light perception and complete ophthalmoplegia in his left eye. The right eye was intact. Computed tomography showed isolated fracture of the greater wing of the sphenoid bone. He was given pulse therapy of methylprednisolone and, two days later, surgical decompres-sion of the optic nerve. Following surgery, orbital apex syndrome became manifest with anesthesia of the cornea and dysesthesia of the left forehead. Corticosteroid therapy was restarted and was tapered off. The clinical signs gradually improved. One year after injury, the visual acuity improved to 0.6. Ophthalmoplegia, corneal and facial sensation recovered to almost normal state.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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