A CASE OF CHRONIC SPHENOIDITIS WITH NEUROLOGIC AND OPHTHALMOLOGIC COMPLICATIONS
https://doi.org/10.17650/2073-8803-2012-7-2-41-46
Abstract
A case of chronic sphenoidal sinusitis in a girl of 9 years old is proposed; in clinical picture oculomotor dysfunction occurred (ptosis, strabismus divergent, diplopia, epiphora). The condition was masked by neurological symptoms, and so initial differential diagnosis was between 1) ocular form of myopathy (including mitochondrial diseases), 2) ocular form of myasthenia and 3) onset of multiple sclerosis. The definite diagnosis «pansinusitis» was proposed by neurologist only after attentive analysis of clinical symptoms and data of MRI, only since 1,5 year after beginning of the disease. This clinical case demonstrates the complexity of differential diagnosis of chronic sphenoidal sinusitis in children and necessity of developed clinical thinking for a doctor of every speciality
About the Authors
M. Yu. Bobylova
Институт детской неврологии и эпилепсии имени Святителя Луки, Москва
Russian Federation
Russian Federation
A. A. Alikhanov
Российская детская клиническая больница, Москва
Russian Federation
Russian Federation
A. A. Demushkina
Российская детская клиническая больница, Москва
Russian Federation
Russian Federation
M. B. Melnikova
Российская детская клиническая больница, Москва
Russian Federation
Russian Federation
G. N. Dunaevskaya
Российский национальный исследовательский медицинский университет имени Н.И. Пирогова, Москва
Russian Federation
Russian Federation
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Review
For citations:
Bobylova M.Yu., Alikhanov A.A., Demushkina A.A., Melnikova M.B., Dunaevskaya G.N. A CASE OF CHRONIC SPHENOIDITIS WITH NEUROLOGIC AND OPHTHALMOLOGIC COMPLICATIONS. Russian Journal of Child Neurology. 2012;7(2):41-46. (In Russ.) https://doi.org/10.17650/2073-8803-2012-7-2-41-46
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