Orbito-Masticatory Syndrome.
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.
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Related Subject Headings
- Tomography, X-Ray Computed
- Sphenoid Bone
- Postoperative Complications
- Orbit
- Ophthalmology & Optometry
- Middle Aged
- Mastication
- Male
- Magnetic Resonance Imaging
- Humans
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Tomography, X-Ray Computed
- Sphenoid Bone
- Postoperative Complications
- Orbit
- Ophthalmology & Optometry
- Middle Aged
- Mastication
- Male
- Magnetic Resonance Imaging
- Humans