Orbital Apex Syndrome: Difference between revisions
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Jack.Dewey (talk | contribs) (Created page with "{{infobox Disease |Title = |Aliases = Jacod Syndrome |Image = [File:Gray787.png|Gray787] |Caption = Contents of the posterior orbit affected by Orbital Apex Syndrome |ICD-9 = 437.6 |ICD-10 = I67.6 |MeSH = |Gene = |Locus = |OMIM = |EyeWiki = [https://eyewiki.org/Orbital_Apex_Syndrome Orbital Apex Syndrome] |Radiopaedia = [h...") |
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=== Imaging === | === Imaging === | ||
=== Differential Diagnosis === | === Differential Diagnosis === | ||
While the cause of orbital apex syndrome can vary, its presentation is similar to two other diagnoses to consider: | |||
* Superior Orbital Fissure Syndrome | |||
* Cavernous Sinus Thrombosis | |||
This table helps outline the differences in cranial nerve involvement in these three diagnoses. | |||
{| class="wikitable", style="margin-left: auto; margin-right: auto; border: none; text-align: center" | |||
|+ Cranial Nerve Involvement in Diseases Near the Orbital Apex | |||
|- | |||
! Syndrome !! CN II !! CN III !! CN IV !! CN V-1 !! CN V-2 !! CN VI !! Sympathetics | |||
|- | |||
| Orbital Apex Syndrome || ✔ || ✔ || ✔ || ± || || ✔ || | |||
|- | |||
| Superior Orbital Fissure Syndrome || || ✔ || ✔ || ✔ || || ✔ || | |||
|- | |||
| Cavernous Sinus Thrombosis || || ✔ || ✔ || ✔ || ✔ || || ✔ | |||
|} | |||
== Management == | == Management == |
Revision as of 20:28, 22 January 2024
Overview
History
Pathophysiology
Relevant Anatomy
Disease Etiology
Genetics
Histology
Diagnosis
Patient History
Physical Examination
Laboratory Tests
Imaging
Differential Diagnosis
While the cause of orbital apex syndrome can vary, its presentation is similar to two other diagnoses to consider:
- Superior Orbital Fissure Syndrome
- Cavernous Sinus Thrombosis
This table helps outline the differences in cranial nerve involvement in these three diagnoses.
Syndrome | CN II | CN III | CN IV | CN V-1 | CN V-2 | CN VI | Sympathetics |
---|---|---|---|---|---|---|---|
Orbital Apex Syndrome | ✔ | ✔ | ✔ | ± | ✔ | ||
Superior Orbital Fissure Syndrome | ✔ | ✔ | ✔ | ✔ | |||
Cavernous Sinus Thrombosis | ✔ | ✔ | ✔ | ✔ | ✔ |