Subject(s)
Eye Foreign Bodies/diagnosis , Metals , Orbital Diseases/diagnosis , Adult , Eye Foreign Bodies/etiology , Eye Foreign Bodies/surgery , Female , Humans , Orbit/diagnostic imaging , Orbit/injuries , Orbit/pathology , Orbit/surgery , Orbital Diseases/etiology , Orbital Diseases/surgery , Wounds, Stab/complications , Wounds, Stab/diagnosis , Wounds, Stab/surgeryABSTRACT
INTRODUCTION: Horton's disease is the most common vasculitis of elder people. Several neurological complications are reported, but pachymeningitis is exceptional. OBSERVATION: A 71-year-old patient who presented headache, hyperesthesia of the scalp, weight loss with a biological inflammatory syndrome and meningeal thickening on MRI. The diagnosis of pachymeningitis related to Horton's disease was retained. The patient was treated by corticosteroids with a good clinical, biological and radiological course after 22 months. CONCLUSION: Horton's disease is a potential diagnosis in elderly persons with pachymeningitis and inflammatory syndrome.
Subject(s)
Adrenal Cortex Hormones/therapeutic use , Giant Cell Arteritis/complications , Aged , Dura Mater/pathology , Female , Giant Cell Arteritis/drug therapy , Headache/etiology , Humans , Hyperesthesia/drug therapy , Hyperesthesia/etiology , Inflammation/pathology , Magnetic Resonance Imaging , Meninges/anatomy & histology , Meninges/drug effects , Meninges/pathology , Meningitis/etiology , Scalp/physiopathologyABSTRACT
INTRODUCTION: The orbital hydatid cyst is a rare (1 to 2%) localization of the Echinococcus granulosus parasite. OBSERVATIONS: An intra-orbital localization of hydatidosis was revealed in two patients by the occurrence of unilateral exophthalmia. After tumoral resection the diagnosis was confirmed by histological examination. COMMENTS: The principle clinical sign of an orbital hydatid cyst is exophthalmia. Imaging is essential for pre-operative diagnosis. Serology is insufficient and treatment is surgical.