Traumatic Superior Orbital Fissure Syndrome: Assessment of Cranial Nerve Recovery in 33 Cases

Chen, Chien-Tzung; Wang, Theresa Y.; Tsay, Pei-Kwei; Huang, Fay; Lai, Jui‐Yang; Chen, Yu-Ray

doi:10.1097/prs.0b013e3181dab658

Cited by 46 publications

(60 citation statements)

References 15 publications

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“…However, lack of CN IV palsy did help with diagnosis. CN IV is external to the annulus of Zinn 6,16 and travels through the lateral portion of the superior orbital fissure. 15 As a result, CN IV compression or injury occurs less frequently in OAS.…”

Section: Discussionmentioning

confidence: 99%

Primary Ocular Adnexal Extranodal Marginal Zone Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Presenting as Orbital Apex Syndrome

Yuen

Pula

Mehta

2017

Neuro-Ophthalmology

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A 75-year-old female with a past medical history significant for prior stroke and atrial fibrillation presented with acute onset of orbital apex syndrome with chemosis and periorbital ecchymosis. Following initial treatment to relieve intraocular pressure, she began spontaneously haemorrhaging retro-orbitally. Preliminary investigation with neuroimaging demonstrated a left orbital mass with extension into the orbital apex. A provisional diagnosis of cavernous haemangioma was made. She was treated with transorbital resection of the orbital mass. Subsequent histopathology revealed a diagnosis of ocular adnexal non-Hodgkin lymphoma of histologic type extranodal marginal zone of mucosa-associated lymphoid tissue (MALT lymphoma). MALT lymphoma should be considered in cases of orbital apex syndrome. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Primary Ocular Adnexal Extranodal Marginal Zone Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Presenting as Orbital Apex Syndrome

Yuen

Pula

Mehta

2017

Neuro-Ophthalmology

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“…SOFS is a rarely described symptom complex due to compression of the compartments of the superior orbital fissure. Clinical presentation may vary from 76 ciliary muscle paralysis); loss of sensation in the region of the globe, upper eyelid and forehead region and loss of corneal reflex (due to CN V1 paralysis) and proptosis (due to loss of extraocular muscle tone) [1,4,9].…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 0.3% of the maxillofacial fractures were reported to be associated with the traumatic SOFS and the most common fractures were described as Le Fort II-III, orbital and zygomaticomaxillary complex fractures [1,[3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…In a clinical study of 33 cases [1], clinical observation (n=22) or mega-dose methylprednisolone administration (n=5) were the treatments for indirect traumatic SOFS. Of the cases that treated with steroid administration, 2 had complete recovery of the cranial nerve functions.…”

Section: Discussionmentioning

confidence: 99%

“…Superior orbital fissure syndrome (SOFS) is a rare and severe clinical entity characterized by traumatic or non-traumatic injuries to the cranial nerves (CN III, IV, V1 and VI) along with the autonomic nerves and vascular structures passing through the superior orbital fissure [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Traumatic superior orbital fissure syndrome: a rare case report

et al. 2016

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Superior orbital fissure syndrome is a severe clinical entity characterized by injuries of neurovascular structures passing through the superior orbital fissure. A 38-year-old male patient admitted to outpatient clinic with left upper eyelid ptosis, ecchymosis, mydriasis, hypoesthesia in upper eyelid and frontal region, blepharoptosis, restriction of ocular movements in all directions, loss of accommodation reflex and absence of direct pupillary reflex. Three-dimensional computed tomography scans demonstrated left-sided orbital fractures resulting in obliteration of the superior orbital fissure. He underwent surgical decompression. The patient had intravenous methylprednisolone administration at preoperative and postoperative periods during hospitalization. He was discharged on the postoperative day 5. At the 9 th postoperative month, the cranial nerve functions were almost completely recovered. We consider that the decompressive surgery in conjunction with perioperative steroid therapy may be effective for the traumatic superior orbital fissure syndrome.Eur Res J 2017;3(1):73-79

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