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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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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. |
format | Online Article Text |
id | pubmed-5379783 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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