General Child Neurology
Hearing loss in infants and children
Mar. 27, 2024
This is an image preview.
Start a Free Account
to view the full image.
-
Nearly 3,000 illustrations, including video clips of neurologic disorders.
-
Every article is reviewed by our esteemed Editorial Board for accuracy and currency.
-
Full spectrum of neurology in 1,200 comprehensive articles.
-
Listen to MedLink on the go with Audio versions of each article.
Neuroimaging in a woman with left-sided steroid-responsive painful ophthalmoplegia from cavernous sinus syndrome caused by bacterial sphenoid sinusitis
(a) Contrast-enhanced coronal T1 MRI of the first headache attack (left-sided headache) on December 12, 2020. The left cavernous sinus was enlarged and widened. The abnormal tissue strongly enhanced after intravenous injection of the contrast material. (b) Contrast-enhanced coronal T1 MRI of the second headache attack (right-sided headache) on January 10, 2021. The increased soft tissue shadows were present in cavernous sinuses bilaterally and were more pronounced on the right. (c) Axial sinus CT on January 14, 2021, shows inflammation of the right sphenoid sinus cavity. (d) One month after surgical and antibiotic therapy, MRI showed that the signal shadow of the cavernous sinus was less than before, although inflammation was still observed on the right side. (e-f) Two months after treatment, MRI showed a normal cavernous sinus and sphenoid sinus.
(Source: He W, Zhu Y, Zhang Y, Dong L, Zhou Z, Zhou J. A case report on recurrent alternating Tolosa-Hunt syndrome due to bacterial sphenoid sinusitis: rediscussing the diagnostic terminology and classification. BMC Neurol. 2023;23[1]:25. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)