Orbito-Masticatory Syndrome.

Journal Article (Journal Article)

We describe 2 unique cases of visual symptoms occurring during mastication in patients with lateral orbital wall defects. A 57-year-old man reported intermittent double vision and oscillopsia after a right fronto-temporal-orbito-zygomatic craniotomy with osteotomy of the lesser wing of the sphenoid for a complex invasive pituitary adenoma. Proptosis of the right globe was present only during mastication. Computed tomography (CT) revealed a bony defect in the right lateral orbital wall. A 48-year-old man presented with transient diplopia and scotoma in the right eye elicited by chewing. CT and magnetic resonance imaging demonstrated a bilobed lesion connecting the temporal fossa to the orbit through a defect in the right lateral orbital wall. The regional neuroanatomy and pathophysiology as pertaining to these cases are discussed.

Full Text

Duke Authors

Cited Authors

  • Mettu, P; Bhatti, MT; El-Dairi, MA; Price, EB; Lin, AY; Alaraj, A; Setabutr, P; Moss, HE

Published Date

  • September 2016

Published In

Volume / Issue

  • 36 / 3

Start / End Page

  • 308 - 312

PubMed ID

  • 26919071

Pubmed Central ID

  • PMC4772138

Electronic International Standard Serial Number (EISSN)

  • 1536-5166

Digital Object Identifier (DOI)

  • 10.1097/WNO.0000000000000354


  • eng

Conference Location

  • United States