[various Phases of Ophthalmoplegia (1)].
Rinsho ganka. Japanese journal of clinical…
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Our patient’s cumulative presentation of bilateral periorbital edema, proptosis, and chemosis in the context of acute on chronic sinusitis is most concerning for orbital cellulitis. Her rapid progression of reduced visual acuity with bilateral ophthalmoplegia and minimally reactive pupils suggests cranial nerve dysfunction, specifically of CNs 3, 4, 6. Let us review orbital, paranasal sinus, and cerebral venous anatomy to gain a better understanding of how her symptomatology summates
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