Abstract:
RATIONALE:Acquired vertical diplopia is commonly observed in trochlear nerve palsy, often resulting from blunt head trauma or vascular problems. It is rarely caused by tumorous conditions or space occupying lesion. We report the first case of Onodi cell mucocele causing isolated trochlear nerve palsy. PATIENT CONCERNS:A 62-year-old male noticed a double vision which worsened when looking down. On ophthalmologic examinations, the patient showed no abnormalities in visual acuity, intraocular pressure, and no swelling in optic disc. In ocular motility test, he was notable for 10° left hypertropia in primary position, 6° in right head tilt position, 14° in left head tilt position and this was aggravated in right and down gaze. Ostiomeatal complex CT depicted an expansile soft tissue density completely filling the left Onodi cell. DIAGNOSES:He was diagnosed with a trochlear nerve palsy caused by an isolated mucocele in the left Onodi cell. INTERVENTIONS:Three days after presentation, he underwent endoscopic sinus surgery for marsupialization of the mucocele in the left Onodi cell. OUTCOMES:The mucocele was completely removed through the endoscopic endonasal approach. Within 4 months after surgery, his 4th nerve palsy had gradually and completely improved. LESSONS:Onodi cell mucoceles that cause trochlear nerve palsy are extremely rare. Timely surgical decompression is essential to achieve optimal recovery of the neural function. Combined trochlear nerve palsy should be evaluated when Onodi cell mucocele involves the orbital apex from above.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Kwon KW,Oh JS,Kim JW,Yoo RE,Kang JGdoi
10.1097/MD.0000000000015475subject
Has Abstractpub_date
2019-05-01 00:00:00pages
e15475issue
21eissn
0025-7974issn
1536-5964pii
00005792-201905240-00006journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Although the precise mechanisms underlying the pathogenesis of abdominal aortic aneurysm (AAA) remain unclear, aortic wall inflammation has been implicated in AAA development. Several studies have reported the use of fluoro-deoxyglucose (F-FDG)/positron emission tomography (PET) to assess the nature of AAA.We present ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003650
更新日期:2016-05-01 00:00:00
abstract::This study was aimed to evaluate whether silver-containing dressings were superior to other types of dressings in the treatment of venous leg ulcers (VLU) and their specific advantages.Eight databases (Cochrane Library, PubMed, Web of Science, Ovid-Medline, Wanfang, VIP, China Biology Medicine, and China National Know...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022164
更新日期:2020-09-11 00:00:00
abstract::Genetic etiology hypothesis is widely accepted in the development of congenital scoliosis (CS). The delta-like 3 (DLL3) gene, a member of the Notch signaling pathway, was implicated to contribute to human CS. In this study, a case-control association study was conducted to determine the association of single nucleotid...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004347
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:With advancements in our understanding of meniscal function, treatment options for meniscal injuries have evolved considerably over the past few decades. The aim of the current study was to compare the all-inside and inside-out techniques with regard to retear rate, functional outcomes, and perioperative com...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020688
更新日期:2020-07-02 00:00:00
abstract:OBJECTIVES:To conduct a meta-analysis of studies comparing the renoprotective effects of angiotensin-converting enzyme inhibitor/angiotensin receptor blocker (ACEI/ARB) combined with either calcium channel blocker (CCB) or diuretic, but not both, in hypertensive patients. DATA SOURCES:Pubmed, Embase, Medline, and Coch...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000004167
更新日期:2016-07-01 00:00:00
abstract::A single-center retrospective analysis of 46 patients with Lenke 5 adolescent idiopathic scoliosis (AIS).To compare Cobb angle distribution in different segments of the main thoracolumbar/lumbar curve in patients with Lenke 5 AIS, and differences in the lateral-bending flexibility, the correction rate, and correction ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011216
更新日期:2018-06-01 00:00:00
abstract::Dental hygienists in Poland work in various settings, including public health care institutions, private dental practices, dental clinics, kindergartens, and schools. They can often face medical emergencies, whose rate is increasing owing to comorbidities and aging of dental patients' populations. The aim of the study...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016613
更新日期:2019-07-01 00:00:00
abstract::We aim to screen the mutations of 3 hearing loss (HL) genes (GJB2, SLC26A4, and 12S rRNA) in 71 cases with nonsyndromic hearing loss (NSHL) using microarray and SNPscan, and identify the roles of nonhotspot mutation of these genes in the screening of NSHL. Seventy-one cases with moderate or severe neurosensory deafnes...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007149
更新日期:2017-06-01 00:00:00
abstract::Although supraclavicular brachial plexus block (SCBPB) was repopularized by the introduction of ultrasound, its usefulness in shoulder surgery has not been widely reported. The objective of this study was to compare motor and sensory blockades, the incidence of side effects, and intraoperative opioid analgesic require...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000001726
更新日期:2015-10-01 00:00:00
abstract::The elevated platelet-to-lymphocyte ratio (PLR), determined using an easy blood test based on platelet and lymphocyte counts, is reported to be a predictor of poor survival in patients with several cancers. The prognostic role of preoperative PLR in patients with intrahepatic cholangiocarcinoma (ICC) has, until now, b...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000574
更新日期:2015-04-01 00:00:00
abstract::To evaluate the accuracy of contrast-enhanced whole-heart magnetic resonance coronary angiography at 3.0T for assessing significant stenosis (≥50% lumen diameter reduction) in patients with myocardial infarction, by using conventional coronary artery angiography as the reference standard, and also test the performance...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013138
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Hypertrophic scars are a common disease in plastic surgery, which is the reaction of skin connective tissue to trauma beyond the normal range. Although scholars around the world have explored the tissue structure and formation mechanism of HS for decades, they are not satisfactory the result of. No effecti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020790
更新日期:2020-06-26 00:00:00
abstract::Health-related quality of life (HRQoL) is impaired in HIV/HCV-coinfected patients (HIV/HCV) and further decreased by interferon (IFN)-based therapies. We aimed to investigate the impact of IFN- and ribavirin (RBV)-free therapies on HRQoL and fatigue.Thirty-three HIV/HCV-coinfected patients who underwent HCV therapy wi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004061
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Pancreatic cancer (PC) remains difficult to treat, despite the recent advances in various anticancer therapies. Immuno-inflammatory response is considered to be a major risk factor for the development of PC in addition to a combination of genetic background and environmental factors. Although patients with P...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000005541
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:Pathological fracture of the mandible caused by radicular cyst is rare. This report describes a unique case of a mandibular pathological fracture caused by radicular cyst, arising from an endodontically treated molar. PATIENT CONCERN:A 49-year-old female was referred to our department with persistent pain in...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000013529
更新日期:2018-12-01 00:00:00
abstract::Transient global amnesia is now considered a very rare complication of cerebral angiography. Various etiological mechanisms have been suggested to account for this complication, but no consensus has been reached yet. This case report documents one of the few reported cases of cerebral angiography-related transient glo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003590
更新日期:2016-05-01 00:00:00
abstract::With the rapid increase in the incidence of mental disorders and mental issues, psychiatry has become one of the fastest growing clinical medical disciplines. Development priorities and research foci in this field have evolved over different periods.All the articles in 10 psychiatric journals with the highest impact f...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007349
更新日期:2017-06-01 00:00:00
abstract:RATIONALE:The fundamental pathogenesis of Behçet disease (BD) is still unclear and controversial. Many cases of oral aphthous ulcers and genital ulcers related to BD are reported; nevertheless, idiopathic giant esophageal ulcers related to BD are rare. A rare case for esophageal ulcers related to BD is presented. PATI...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008469
更新日期:2017-11-01 00:00:00
abstract::Congenital chloride losing diarrhea (CCLD) is a rare type of chronic watery diarrhea due to mutations in SLC26A3 gene leading to defective chloride-bicarbonate exchanges with the resultant loss of chloride and retention of bicarbonate.We aim to define pediatric Saudi CCLD patients' characteristics to achieve prompt di...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015928
更新日期:2019-05-01 00:00:00
abstract::To investigate the performance of fluorine-18-fluorodeoxyglucose (F-FDG) positron emission tomography (PET) and PET/computed tomography (CT) in the diagnosis, staging, restaging, and recurrence surveillance of bone sarcoma by systematically reviewing and meta-analyzing the published literature.To retrieve eligible stu...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000001462
更新日期:2015-09-01 00:00:00
abstract:RATIONALE:Hepatoid adenocarcinoma of lung (HAL) is a rare malignant tumor, which can be defined as a primary alpha-fetoprotein (AFP)-producing lung carcinoma. The majority of hepatoid adenocarcinoma (HAC) expressed AFP in tumor cells, but AFP expression is not required for its diagnosis according to the modified diagno...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000015053
更新日期:2019-04-01 00:00:00
abstract::We aimed to show the utility and reliability of sternal morphometric analysis for sex estimation.Sex estimation is a very important step in forensic identification. Skeletal surveys are main methods for sex estimation studies. Morphometric analysis of sternum may provide high accuracy rated data in sex discrimination....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000240
更新日期:2014-12-01 00:00:00
abstract::Nonspecific ST-segment and T-wave (ST-T) changes represent one of the most prevalent electrocardiographic abnormalities in hypertensive patients. However, a limited number of studies have investigated the association between nonspecific ST-T changes and unsatisfactory blood pressure (BP) control in adults with hyperte...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006423
更新日期:2017-03-01 00:00:00
abstract::Voluntary Medical Male Circumcision (VMMC) for human immunodeficiency virus (HIV) prevention has scaled up rapidly among young men in western Kenya since 2008. Whether the program has successfully reached uncircumcised men evenly across the region is largely unknown. Using data from two cluster randomized surveys from...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005885
更新日期:2017-01-01 00:00:00
abstract::The aim of the study was to compare the measurements of optical (AL-Scan; Nidek Co., Ltd.) and ultrasonic (Echo Scan US-800; Nidek Co., Ltd.) biometry devices and to assess refractive results after cataract surgery. Eighty-one cataractous eyes of 81 patients were included in this study. Biometry was performed using th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002169
更新日期:2015-12-01 00:00:00
abstract::Categorical syndromes such as schizophrenia may represent complexes of many continuous psychological structural phenotypes along several dimensions of personality development/degeneration. The present study investigated the heritability and familiality of Neuroticism-Extraversion-Openness to experience (NEO) personali...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009858
更新日期:2018-02-01 00:00:00
abstract:ABSTRACT:Some evidences suggest the involvement of the central nervous system in patients infected with SARS-CoV-2. We aim to analyze possible associations between coronavirus disease 2019 (COVID-19) pandemic and spontaneous subarachnoid hemorrhage (SAH), in a comprehensive neurological center.We conducted a retrospect...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023862
更新日期:2020-12-18 00:00:00
abstract::Alanine transaminase (ALT) abnormalities are common in chronic hepatitis B (CHB) carriers during postpartum period. Disturbances in cytokines are considered to be associated with hepatitis Flares. There are limited data on cytokines changes in HBeAg positive patients with ALT abnormalities.This is an observational stu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017969
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Asthma is a common chronic disease with heavy burden. The number of asthma patients may continue to grow in the next 10 years. Existing conventional treatments have problems in which a small number of patients do not respond, often accompanied by side effects, or are too expensive. Probiotics, prebiotics, an...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017840
更新日期:2019-11-01 00:00:00
abstract::Good oncologic outcomes, demonstrated by a complete pathologic response after preoperative chemoradiotherapy (PCRT), have led to local excision (LE) in selected patients with rectal cancer. We evaluated the oncologic safety of LE compared with total mesorectal excision (TME) in patients with ypT0-T1 rectal cancer.A re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003718
更新日期:2016-05-01 00:00:00