Frontal epidural empyema (Pott's puffy tumor) associated with Mycoplasma and depression.

UNLABELLED: A 37-year-old male has left exophthalmia, which gradually evolved in the last two years, finally with a deviation of left eye (LE), down side and out, with gradually decrease of visual acuity (VA). These symptoms are accompanied with headache and psychiatric manifestations with irritability, decreased attention, anxiety, insomnia, depressed mood. Brain Computed Tomography (CT) shows a tumor mass in air leakage sinus, bilateral frontal and bilateral ethmoidal, with left orbital invasion. This tumor mass lysis by pressure the supero-posterior wall of the left orbit, with the delimitation of a frontal epidural process with a capsule and calcifications. Additionally, it has been shown there is a bilateral maxillary sinusitis. The surgical intervention removed the infection focal spots rearranging the left eyeball, recovering the VA. The sinuses were drained. The psychiatric symptoms in the post operatory phase disappeared. Histopathological examination of the excised tissue revealed sinus ciliated respiratory mucosa with mixed acute and chronic inflammatory infiltrate and focal squamous metaplasia. The lamina propria is edematous and contains large numbers of neutrophils, lymphocytes and plasma cells. Histopathological diagnosis is acute and chronic sinusitis. CONCLUSIONS: An untreated infection of the aerial sinuses can lead to a complication like Pott's puffy tumor. When signs such as ophthalmologic, psychiatric and intense headaches appear, it suggests the presence of the Pott's puffy tumor (PPT). The clinical signs are reversible once the tumor has been removed.

[Methods of prevention of ischemic cerebral damages in patients with antiphospholipid antibodies]. / Modalitati de preventie a leziuniloh ischemice cerebrale in prezenta anticorpilor antifosfolipidici.

AIM: The aspect of the retinal vessels may suggest the presence of the antiphospholipid antibodies that can be detected afterwards in the patient's blood by lab tests. The presence of antiphospholipid antibodies (aCL) seems to be the sign for brain ischemic lesions by clotting. MATERIALS AND METHODS: Three cases of aspects of retinal vessels associated with aCL (antiphospholipid antibodies) present in patients with: slowly progressive memory problems, "atypical multiple sclerosis", amaurosis fugax in contraceptive treatment. RESULTS: The presence of the aCL antibodies and the aspect of the retinal vessels signaled the possibility of an abnormal clotting leading to stroke. Discontinuities in the vessels pathways both in the retinopathy and AFG, suggesting an abnormal blood flow in the retinal vessels, while the aCL present signals a clotting with multiple brain ischemic lesions. CONCLUSION: This aspect of the retinal arterial or/and venous vessels requires laboratory blood dosing for antiphospholipid antibodies. Their presence will be a definite sign for a future thrombosis and multiple brain ischemic lesions. The treatment with sulodexide, initially injectable, then oral formula was used for 6 - 14 months, until the disappearance of the antiphospholipid antibodies, but, more than that until the aspect of the retinal vessels went back to normal

[Romanian Society of Neuro-ophthalmology--RONOS]. / Societatea Româna de Neurooftalmologie--RONOS.

AIM: To develop clinical neuro-ophthalmology for promoting the medical principles, policies and practices in view of better neuro-ophthalmological care of patients; acquiring scientific and clinical knowledge in kin fields to Neuro-ophthalmology. The fundamental values of RONOS are aspiration to performance and encouraging the pioneering, the innovating spirit and the interdisciplinary cooperation for making the medical performance more responsible. RONOS's place among the world neuro-sciences.

[Value of ophthalmologic examination in early diagnosis of slow-growing intracranial tumors]. / Valoarea examenului oftalmologic in diagnosticul precoce al tumorilor intracraniene cu dezvoltare lenta.

We report a case of clinically mute median fore brain tumor with meningeal origin and optic chiasm compression. The patient required the ophthalmological examination for "changing glasses".

Cystic optic nerve sheath meningioma.

A 58-year-old woman with a 35-year history of left proptosis underwent neuroimaging that revealed a large cystic lesion. Surgery revealed an optic nerve sheath meningioma associated with cyst formation. The cyst was part of the tumor, a phenomenon that is well described in intracranial meningiomas but not in optic nerve sheath meningiomas.

Clinical controversy in orbitary cholesteatoma.

Cholesterol granulomas are tumor-like lesions very rarely encountered in the orbital, frontal sinus, and maxillary sinus sites but with higher frequency in the middle-ear and petrous apex. Theoretically, cholesterol granulomas develop as a reaction to localized hemorrhages, often occurring in bony sites with no blood and blood products drainage. We present 5 cases with exophthalmoses, namely, 3 cases with granuloma and 2 cases with cholesteatoma, all being characterized by the presence of cholesterol spikes at the histologic examination. Henderson (Orbital tumors. 3rd ed. New York: Raven Press; 1994) reports cholesterol spikes in medical literature as structures with different histologic names as hematic cyst, intraorbital hematoma, subperiostal hemorrhages, chocolate cyst, and xanthomatosis reactive lesions of bone. In fact, cholesterol granuloma is the term for the pocket of hematogenous debris found in the frontal bone at surgery. We try to review the spectrum of clinical-pathological and radiographic features that characterize cholesterol granuloma but with the same surgical way management.

Vascular tumors in the orbit--capillary and cavernous hemangiomas.

Vascular tumors in the orbit result from new formation of vessels, proliferation of tissue components of the vessel wall, and hyperplasia of cellular elements ordinarily concerned with the genesis of vascular tissue. These vasculogenic lesions constitute the largest group of primary orbital tumors; we present the capillary hemangioma and the cavernous hemangioma.

[Neuro-ophthalmologic aspects in antiphospholipid syndrome]. / Manifestari neurooftalmologice în sindromul antifosfolipidic.

Antiphospholipid syndrome is the one autoimmune noninflammatory syndrome affecting all blood vessels at any vascular segment, irrespective of the vascular size and topography. Defined in 1983 by Hughes, this syndrome represents the actual research theme in practically all medical fields, therefore the importance of antiphospholipid syndrome is recognized. The major aim of this article is to describe the neuro-ophthalmologic manifestations of the antiphospholipid syndrome, emphasizing the latest news about this syndrome and its impact on the retina and central nervous system.

[Controversy about the term inflammatory orbital pseudotumor]. / Controverse asupra termenului de pseudotumora inflamatorie orbitara.

The term of "inflammatory orbital pseudotumor" is met in the inflammatory pathology of the orbit and it has been modified through the time both in its frequency of usage and in its meaning. The authors make a review of the evolution of in the term usage and especially in its importance as a partial diagnosis and also as an attitude towards the paraclinical investigations. The goal of this work is to present the evolution of the problems implied by the term "orbital pseudotumor" that even today rises controversies.

[Intracranial and intraorbital meningioma ]. / Meningioame intraorbitare si intracraniene--tema de granita neurooftalmologica.

UNLABELLED: AIM OF THE ARTICLE: To discuss the simultaneous presence of intraorbitar and intracranian meningiomas, the origin and the link between these tumors. MATERIAL AND METHODS: We show 3 cases with intracranian and intraorbitar meningiomas. RESULTS: Therapeutically attitude and debates about anatomopathological results. CONCLUSIONS: Difficulty in determine the intracranian or intraorbitar origin of meningiomas.

[Pseudotumor cerebri or idiopathic cranial hypertension. Neuro-ophthalmologic considerations]. / Pseudotumor cerebri (PTC) sau hipertensiune intracraniana idiopatica (HII). Consideratii neurooftalmologice.

Pseudotumor cerebri is defined and the general pathology added where the idiopathic intracranial hypertension syndrom can be found. The paper reviews the consequences that the increase in cerebral spinal liquid (CSL) pressure has on the visual function. The symptomatology is polymorphous, hard to frame and much more difficult to cure, the diagnosis being one of exclusion.