Lee Brian, Kim Charles, Carrasco Jacqueline
Thomas Jefferson University , Philadelphia, Pennsylvania , USA and.
Orbit. 2015;34(4):175-8. doi: 10.3109/01676830.2015.1014515. Epub 2015 May 8.
Infectious intracranial aneurysm and cavernous sinus thrombosis are rare complications of orbital cellulitis. We report the case of a 46-year-old male presenting with sinusitis and orbital cellulitis complicated by the development of an orbital mass. Following orbitotomy with debulking, the patient underwent bony orbital decompression for increasing proptosis postoperatively. While his exam stabilized, the patient developed complete ptosis and extraocular motor palsy in the contralateral eye after undergoing bilateral sinus debridement. Imaging was notable for the presence of a pseudoaneurysm of the internal carotid artery, which was treated with a stent. This report demonstrates rare complications of orbital cellulitis. These patients should be monitored carefully with noninvasive imaging studies, such as cerebral angiography, for early detection of vascular abnormalities that can progress rapidly.
感染性颅内动脉瘤和海绵窦血栓形成是眼眶蜂窝织炎的罕见并发症。我们报告一例46岁男性，表现为鼻窦炎和眼眶蜂窝织炎，并伴有眼眶肿物。在进行眼眶肿物切除的眶切开术后，患者因术后眼球突出加重接受了眼眶减压术。尽管其检查结果稳定，但在双侧鼻窦清创术后，患者对侧眼出现了完全性上睑下垂和眼球运动麻痹。影像学检查发现颈内动脉假性动脉瘤，遂采用支架治疗。本报告展示了眼眶蜂窝织炎的罕见并发症。应对这些患者进行仔细监测，并采用无创影像学检查，如脑血管造影，以便早期发现可能迅速进展的血管异常。
