[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.124.106. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Clinical Problem Solving: Radiology
January 2002

Radiology Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 2002;128(1):81. doi:

A 40-YEAR-OLD man presented with a 2-month history of sudden-onset diplopia on upward gaze. The diplopia was worsened by fatigue, use of alcohol, and eye strain. The patient denied eye pain, visual change, nasal discharge, headache, weakness, or trauma. He had previously been seen by an ophthalmologist, who had found no abnormalities other than mildenophthalmos after thorough evaluation. The head and neck examination revealed 4 mm of enophthalmos of the left eye (Figure 1 and Figure 2). There was noted diplopia on upward gaze; however, there were no gaze palsies or visual acuity deficits. The nasal examination revealed a right septal deflection with minimal nasal obstruction. There was no purulence, necrosis, or congestion noted. A computed tomographic scan of the sinuses was subsequently performed (Figure 3 [note left and right sides are opposite those of standard computed tomographic scans] and Figure 4).

First Page Preview View Large
First page PDF preview
First page PDF preview
×