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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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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. |
format | Online Article Text |
id | pubmed-10163485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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