Asunto(s)
Cuerpos Extraños en el Ojo/diagnóstico , Metales , Enfermedades Orbitales/diagnóstico , Adulto , Cuerpos Extraños en el Ojo/etiología , Cuerpos Extraños en el Ojo/cirugía , Femenino , Humanos , Órbita/diagnóstico por imagen , Órbita/lesiones , Órbita/patología , Órbita/cirugía , Enfermedades Orbitales/etiología , Enfermedades Orbitales/cirugía , Heridas Punzantes/complicaciones , Heridas Punzantes/diagnóstico , Heridas Punzantes/cirugíaRESUMEN
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.
Asunto(s)
Corticoesteroides/uso terapéutico , Arteritis de Células Gigantes/complicaciones , Anciano , Duramadre/patología , Femenino , Arteritis de Células Gigantes/tratamiento farmacológico , Cefalea/etiología , Humanos , Hiperestesia/tratamiento farmacológico , Hiperestesia/etiología , Inflamación/patología , Imagen por Resonancia Magnética , Meninges/anatomía & histología , Meninges/efectos de los fármacos , Meninges/patología , Meningitis/etiología , Cuero Cabelludo/fisiopatologíaRESUMEN
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.