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Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient

A fit and well young man presented to our emergency department in the UK. On examination, he had an isolated left-sided ptosis; he had a 3-day history of frontal headache which was worse on head movement. He lacked any clinical signs of cranial, orbital, or preseptal infection, and his eye movements...

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Autores principales: Mirza, Mohammed Osman, Mathai, Anup, Owens, Alan, Massey, Glenn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163485/
https://www.ncbi.nlm.nih.gov/pubmed/37130646
http://dx.doi.org/10.1136/bcr-2023-254971
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author Mirza, Mohammed Osman
Mathai, Anup
Owens, Alan
Massey, Glenn
author_facet Mirza, Mohammed Osman
Mathai, Anup
Owens, Alan
Massey, Glenn
author_sort Mirza, Mohammed Osman
collection PubMed
description A fit and well young man presented to our emergency department in the UK. On examination, he had an isolated left-sided ptosis; he had a 3-day history of frontal headache which was worse on head movement. He lacked any clinical signs of cranial, orbital, or preseptal infection, and his eye movements were normal. Ten days before presentation, he tested positive for SARS-CoV-2. Inflammatory markers were moderately raised, and CT of the head did not reveal any vascular abnormality or intracranial lesion. Imaging revealed opacification, predominantly in the left facial sinuses, keeping with sinusitis. He was discharged the same evening with oral antibiotics and made a full recovery over the next few days. He remained well at 6-month follow-up. The authors convey their findings to raise awareness of a rare complication of sinusitis and to demonstrate the utility of CT imaging for diagnosing sinusitis and ruling out severe pathology.
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spelling pubmed-101634852023-05-07 Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient Mirza, Mohammed Osman Mathai, Anup Owens, Alan Massey, Glenn BMJ Case Rep Case Reports: Findings that shed new light on the possible pathogenesis of a disease A fit and well young man presented to our emergency department in the UK. On examination, he had an isolated left-sided ptosis; he had a 3-day history of frontal headache which was worse on head movement. He lacked any clinical signs of cranial, orbital, or preseptal infection, and his eye movements were normal. Ten days before presentation, he tested positive for SARS-CoV-2. Inflammatory markers were moderately raised, and CT of the head did not reveal any vascular abnormality or intracranial lesion. Imaging revealed opacification, predominantly in the left facial sinuses, keeping with sinusitis. He was discharged the same evening with oral antibiotics and made a full recovery over the next few days. He remained well at 6-month follow-up. The authors convey their findings to raise awareness of a rare complication of sinusitis and to demonstrate the utility of CT imaging for diagnosing sinusitis and ruling out severe pathology. BMJ Publishing Group 2023-05-01 /pmc/articles/PMC10163485/ /pubmed/37130646 http://dx.doi.org/10.1136/bcr-2023-254971 Text en © BMJ Publishing Group Limited 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Reports: Findings that shed new light on the possible pathogenesis of a disease
Mirza, Mohammed Osman
Mathai, Anup
Owens, Alan
Massey, Glenn
Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title_full Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title_fullStr Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title_full_unstemmed Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title_short Acute unilateral isolated ptosis as a complication of sinusitis in a post-COVID-19 patient
title_sort acute unilateral isolated ptosis as a complication of sinusitis in a post-covid-19 patient
topic Case Reports: Findings that shed new light on the possible pathogenesis of a disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163485/
https://www.ncbi.nlm.nih.gov/pubmed/37130646
http://dx.doi.org/10.1136/bcr-2023-254971
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