 |
|
Radiology Quiz Case 4
Gerrard T. O’Donoghue, MD;
Ramesh Kumar, MD;
Faisel S. Taleb, MD;
Charles Marks, MD
Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin (Drs Donoghue, Kumar, and Taleb), and University College Cork, Cork, Ireland (Dr Marks)
Arch Otolaryngol Head Neck Surg. 2005;131:824.
|
|
| Since this article does not have an abstract, we have provided the first 144 words of the full text and any section headings. |
|
|
|
A 68-year-old woman with no history of nasal disease presented with a 3-week history of a fluctuating right-sided frontotemporal headache, nausea, vomiting, photophobia, and drooping of the right eye and a 1-week history of right-sided diplopia. Physical examination revealed an oculomotor and abducens nerve palsy, a dilated pupil, diplopia, proptosis, ptosis, and decreased visual acuity in the right eye. The findings of the rest of the neurologic and general physical examinations were unremarkable.
Laboratory investigations revealed an elevated erythrocyte sedimentation rate. Computed tomography and magnetic resonance imaging (MRI) demonstrated a homogeneous soft tissue mass expanding the sphenoidal sinus (Figure 1 and Figure 2) and eroding the right lateral wall of the sphenoidal sinus cavity (Figure 3).
Figure appears in full text version.
|
|
|
|
|
Figure appears in full text version.
|
|
|
|
|
Figure appears in full text version.
|
|
|
|
|
What is your diagnosis?
SECTION EDITORS: R. NICK BRYAN, MD; PATRICIA A. HUDGINS, MD
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Radiology Quiz Case 4: Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131(9):827-828.
EXTRACT
| FULL TEXT
|
