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January 1978

Resident's Page

Author Affiliations

Baylor College of Medicine and The Methodist Hospital, Houston

Arch Otolaryngol. 1978;104(1):58-61. doi:10.1001/archotol.1978.00790010062015


John R. E. Dickins, MD, Houston  An 81-year-old woman was admitted to the hospital for evaluation of a unilateral proptosis of the left eye and epiphora of approximately four months' duration. During the four months, the proptosis had steadily increased, but the patient's visual acuity was unaffected. Past history was unremarkable except for mild hypertension and a transient ischemic attack on the right side ten years previously. On physical examination, she had a notable proptosis of the left eye without impairment of the third, fourth, or sixth cranial nerves. A bruit was heard above the left orbit; otherwise, the results of the remainder of her physical examination were normal. A skull roentgenogram is shown in Fig 1. After a negative evaluation for metastatic disease, a carotid arteriogram was performed, which yielded results consistent with meningioma. A frontal craniotomy was performed, and sections of the resected

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