ABSTRACT
CASO CLÍNICO: Presentamos el caso de un varón de 63 años con paresia troclear unilateral derecha que comenzó con diplopía vertical tras someterse a una angiografía coronaria programada con intervención percutánea coronaria por vía radial. Se resolvió espontáneamente en 2 meses. DISCUSIÓN: La oftalmoplejía tras la realización de angioplastia percutánea coronaria es una situación rara. Solamente se han descrito oftalmoplejías internucleares y paresias de los pares craneales III y VI tras angioplastias percutáneas, siendo este el primer caso de oftalmoplejía aislada del IV par craneal unilateral descrito tras dicho procedimiento
CASE REPORT: A case is presented of a 63-year-old man who suffered a unilateral isolated trochlear nerve palsy with vertical diplopia following an elective radial coronary angiography and percutaneous coronary intervention, which resolved spontaneously within 2 months. DISCUSSION: Ophthalmoplegia following coronary percutaneous angioplasty is rare. Only internuclear ophthalmoplegia, III and VI cranial nerve palsy have been previously reported following percutaneous angioplasty. This is the first reported case of unilateral isolated trochlear nerve ophthalmoplegia following this procedure
Subject(s)
Humans , Male , Middle Aged , Paresis/diagnostic imaging , Trochlear Nerve Injuries/diagnostic imaging , Angioplasty/instrumentation , Supranuclear Palsy, Progressive/diagnostic imaging , Diplopia/diagnostic imaging , Contrast Media/toxicity , Oculomotor Muscles/diagnostic imaging , Ophthalmoplegia/diagnostic imaging , Diplopia/complications , Retina/diagnostic imaging , Diagnosis, DifferentialABSTRACT
CASO CLÍNICO: Varón de 61 años con un carcinoma adenoide quístico de glándulas salivales menores de labio inferior presentó deterioro unilateral y progresivo de la agudeza visual debido a una metástasis coroidea. DISCUSIÓN: El carcinoma adenoide quístico es un tumor infrecuente con un importante potencial mestastásico. Nuestro paciente presentó una metástasis coroidea unilateral. Actualmente hay descritos 8 casos de metástasis coroidea de un carcinoma adenoide quístico de glándulas salivales. Este es el segundo caso descrito de metástasis coroidea con origen en un tumor de glándulas salivales menores y el primero con origen en las glándulas salivales menores del labio inferior
CASE REPORT: A 61-year-old man with a lower lip minor salivary gland adenoid cystic carcinoma, suffered from a unilateral progressive visual acuity loss due to choroidal metastasis. DISCUSSION: Adenoid cystic carcinoma is a rare primary tumour with significant metastatic potential. Our patient presented with a unilateral choroidal metastasis. According to the current literature, 8 cases of choroidal metastasis of salivary gland adenoid cystic carcinoma have been reported. This is the second case reported of choroidal metastasis with origin in a minor salivary gland, and the first one with origin in the minor salivary glands of the lower lip
Subject(s)
Humans , Male , Middle Aged , Carcinoma, Adenoid Cystic/complications , Choroid Neoplasms/diagnostic imaging , Choroid Neoplasms/secondary , Neoplasm Metastasis/diagnosis , Neoplasm Metastasis/pathology , Salivary Gland Neoplasms/diagnostic imaging , Salivary Gland Neoplasms/pathology , Visual AcuityABSTRACT
CASE REPORT: A 61-year-old man with a lower lip minor salivary gland adenoid cystic carcinoma, suffered from a unilateral progressive visual acuity loss due to choroidal metastasis. DISCUSSION: Adenoid cystic carcinoma is a rare primary tumour with significant metastatic potential. Our patient presented with a unilateral choroidal metastasis. According to the current literature, 8 cases of choroidal metastasis of salivary gland adenoid cystic carcinoma have been reported. This is the second case reported of choroidal metastasis with origin in a minor salivary gland, and the first one with origin in the minor salivary glands of the lower lip.
Subject(s)
Carcinoma, Adenoid Cystic/secondary , Choroid Neoplasms/secondary , Salivary Gland Neoplasms/pathology , Salivary Glands, Minor , Humans , Male , Middle AgedABSTRACT
CASE REPORT: A case is presented of a 63-year-old man who suffered a unilateral isolated trochlear nerve palsy with vertical diplopia following an elective radial coronary angiography and percutaneous coronary intervention, which resolved spontaneously within 2 months. DISCUSSION: Ophthalmoplegia following coronary percutaneous angioplasty is rare. Only internuclear ophthalmoplegia, III and VI cranial nerve palsy have been previously reported following percutaneous angioplasty. This is the first reported case of unilateral isolated trochlear nerve ophthalmoplegia following this procedure.
Subject(s)
Diplopia/etiology , Percutaneous Coronary Intervention/adverse effects , Trochlear Nerve Diseases/etiology , Angina Pectoris/therapy , Angioplasty, Balloon, Coronary , Causality , Coronary Angiography , Embolism/etiology , Humans , Male , Middle Aged , Platelet Aggregation Inhibitors/therapeutic use , Recurrence , Retreatment , Stents , Torticollis/etiologyABSTRACT
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