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Images in Neurology
April 2016

Bulging and Pulsating Conjunctiva

Author Affiliations
  • 1Govind Ballabh Pant Postgraduate Institute of Medical Education and Research, JLN Marg, New Delhi, India
JAMA Neurol. 2016;73(4):472-473. doi:10.1001/jamaneurol.2015.4435

A 28-year-old woman presented with complaints of acute-onset severe bursting headache with vomiting for 7 days and pain, redness, swelling of eyelids, and bulging of the right eye for 2 days. She had a history of treatment for rhinosinusitis 15 days prior when she received 625 mg of oral augmentin (amoxicillin and clauvalanic acid) 3 times daily for 10 days based on culture sensitivity (Staphylococcus aureus) of purulent discharge from the right sphenoidal sinus. On examination, she had severe chemosis with a ballooned-out palpebral conjunctiva with visible pulsation, marked eyelid edema, and proptosis of the right eye (Video).

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