What is Orbital apex syndrome?

Orbital apex syndrome

It is an abnormal function of cranial nerve (CN) 2,3,4,5 and 6 in varying combination. It is also known as Jacod syndromes where there is a collection of cranial nerve deficits associated with a mass lesion near the apex of the orbit of the eye.


Causes of orbital apex syndrome

  • Posterior ethmoidal or sphenoidal sinusitis: These sinuses are adjacent to the apex of the orbit
  • In a diabetic patient, Rhinocerebral mucormycosis is the most frequent cause of orbital apex syndrome
  • Orbital apex syndrome may be caused by a tumor of the middle cranial fossa (near the apex of the orbit) and by herpes zoster
  • Aspergillus may cause an orbital apex syndrome in immunocompromised hosts and may have a subacute presentation

Clinical features of orbital apex syndrome

  • Complete Ophthalmoplegia and ptosis (CN 3, 4 and 6)
  • Decreased corneal sensation and hypoesthesia of the upper face (CN 5) and
  • Vision loss and relative afferent pupillary defect (CN 2)

Diagnosis:

  • High-resolution CT scan with a slice thickness of 3mm or less
  • MRI

Treatment:

  • If vision is impaired, then surgical intervention is required.

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3 Comments

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    Replies
    1. Having Herpes is a Terrible Experience and my Experience will help some hsv patients beware of Herbs from online doc.
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      Delete
  2. Having Herpes is a Terrible Experience and my Experience will help some hsv patients beware of Herbs from online doc.
    I was positive to the deadly virus called HERPES and i lost hope because i
    was out casted and rejected even by my closet friends.
    i searched on-line to know and enquirer about cure for HERPES and i read
    someone testimony on how he was cured from HSV-2 so i decided to contact
    the same herbalist Call Dr Edidia because i know that nature has the power
    to heal everything.
    i contacted him to know how he can help me and he told me never to worry
    that he will help me with the natural herbs from God!
    after 2 days of contacting him, he told me that the cure has been ready and
    he sent it to me via UPS SPEED POST and it got to me after 3 days!
    i used the medicine as he instructed me (MORNING and EVENING) and i was
    cured!
    its really like a dream but i am so happy!
    thats the reason i decided to also add more comment of Him so that more can
    be saved just like me!
    and if you need his help, you can email him on dredidiaherbalhome@gmail.com
    or whatsapp +2349074505296
    here is the Dr website https://dr-edidia-herbal-home.business.site/

    I,m rosesharon and you can get intouch with me via rosesharon915@gmail.com

    ReplyDelete