Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome

The superior orbital fissure syndrome (SOFS) is a rare condition presenting as painful unilateral opthalmoplegia, ptosis, pupillary dilatation and anesthesia of the upper eyelid and forehead. It has been described after facial trauma. Other etiologies include infections, tumors or spontaneous hemorr...

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Autores principales: Haldar, Rudrashish, Gyanesh, Prakhar, Srivastava, Arun, Bettaswamy, Guru Prasad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379783/
https://www.ncbi.nlm.nih.gov/pubmed/28413552
http://dx.doi.org/10.4103/1793-5482.148795
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author Haldar, Rudrashish
Gyanesh, Prakhar
Srivastava, Arun
Bettaswamy, Guru Prasad
author_facet Haldar, Rudrashish
Gyanesh, Prakhar
Srivastava, Arun
Bettaswamy, Guru Prasad
author_sort Haldar, Rudrashish
collection PubMed
description The superior orbital fissure syndrome (SOFS) is a rare condition presenting as painful unilateral opthalmoplegia, ptosis, pupillary dilatation and anesthesia of the upper eyelid and forehead. It has been described after facial trauma. Other etiologies include infections, tumors or spontaneous hemorrhages in the retro-orbital space. Occurrence of SOFS after surgery in the skull base has not been described before. We recently encountered a case where a young female developed SOFS following surgery for cerebrospinal fluid (CSF) rhinorrhea. The occurrence of SOFS was preceded by episodes of trigemino-cardiac reflex (TCR) during the surgery. This is the first case report associating TCR with SOFS. We managed the case report with megadose methylprednisolone and the patient showed improvement in the deficit over time.
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spelling pubmed-53797832017-04-14 Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome Haldar, Rudrashish Gyanesh, Prakhar Srivastava, Arun Bettaswamy, Guru Prasad Asian J Neurosurg Case Report The superior orbital fissure syndrome (SOFS) is a rare condition presenting as painful unilateral opthalmoplegia, ptosis, pupillary dilatation and anesthesia of the upper eyelid and forehead. It has been described after facial trauma. Other etiologies include infections, tumors or spontaneous hemorrhages in the retro-orbital space. Occurrence of SOFS after surgery in the skull base has not been described before. We recently encountered a case where a young female developed SOFS following surgery for cerebrospinal fluid (CSF) rhinorrhea. The occurrence of SOFS was preceded by episodes of trigemino-cardiac reflex (TCR) during the surgery. This is the first case report associating TCR with SOFS. We managed the case report with megadose methylprednisolone and the patient showed improvement in the deficit over time. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5379783/ /pubmed/28413552 http://dx.doi.org/10.4103/1793-5482.148795 Text en Copyright: © 2014 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Haldar, Rudrashish
Gyanesh, Prakhar
Srivastava, Arun
Bettaswamy, Guru Prasad
Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title_full Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title_fullStr Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title_full_unstemmed Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title_short Trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
title_sort trigeminocardiac reflex preceding development of postoperative superior orbital fissure syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379783/
https://www.ncbi.nlm.nih.gov/pubmed/28413552
http://dx.doi.org/10.4103/1793-5482.148795
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