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Published in: Neuroradiology 6/2009

01-06-2009 | Diagnostic Neuroradiology

Orbital and anterior visual pathway infection and inflammation

Authors: Roel De Wyngaert, Ingele Casteels, Philippe Demaerel

Published in: Neuroradiology | Issue 6/2009

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Abstract

Introduction

Orbital and anterior visual pathway infection and inflammation represent approximately 10–15% of all orbital pathology. Both conditions can occur separately but occasionally they can be observed simultaneously.

Methods

While the diagnosis of infection is usually straightforward, it is important to depict the lesions and to know the potential devastating complications. CT plays an important role in confirming the clinical suspicion of orbital infection.

Results

The diagnosis and differential diagnosis of inflammation is more challenging. Differentiating inflammation from lymphoproliferative diseases and tumours can be difficult.

Conclusion

MR imaging plays an important role but a dedicated orbital imaging protocol is mandatory.
Literature
2.
go back to reference Tobinick E, Vega CP (2006) The cerebrospinal venous system: anatomy, physiology, and clinical implications. MedGenMed 8(1):53PubMed Tobinick E, Vega CP (2006) The cerebrospinal venous system: anatomy, physiology, and clinical implications. MedGenMed 8(1):53PubMed
4.
go back to reference Rimon A, Hoffer V, Prais D, Harel L, Amir J (2008) Periorbital cellulitis in the era of Haemophilus influenza type B vaccine: predisposing factors and etiologic agents in hospitalized children. J Ped Ophthalmol Strab 45:300–304CrossRef Rimon A, Hoffer V, Prais D, Harel L, Amir J (2008) Periorbital cellulitis in the era of Haemophilus influenza type B vaccine: predisposing factors and etiologic agents in hospitalized children. J Ped Ophthalmol Strab 45:300–304CrossRef
6.
go back to reference Suneetha N, Battu RR, Thomas RK, Bosco A (2000) Orbital abscess: management and outcome. Indian J Ophtalmology 48:129 Suneetha N, Battu RR, Thomas RK, Bosco A (2000) Orbital abscess: management and outcome. Indian J Ophtalmology 48:129
11.
go back to reference Ho CF, Huang YC, Wang CJ, Chiu CH, Lin TY (2007) Clinical analysis of computed tomography-staged orbital cellulitis in children. J Microbiol Immunol Infect 40:518–524PubMed Ho CF, Huang YC, Wang CJ, Chiu CH, Lin TY (2007) Clinical analysis of computed tomography-staged orbital cellulitis in children. J Microbiol Immunol Infect 40:518–524PubMed
25.
go back to reference Jakob E, Reuland MS, Mackensen F, Harsch N, Fleckenstein M, Lorenz HM, Max R, Becker MD (2009) Uveitis subtypes in a German interdisciplinary uveitis center. Analysis of 1916 patients. J Rheumatol 36:127–136PubMed Jakob E, Reuland MS, Mackensen F, Harsch N, Fleckenstein M, Lorenz HM, Max R, Becker MD (2009) Uveitis subtypes in a German interdisciplinary uveitis center. Analysis of 1916 patients. J Rheumatol 36:127–136PubMed
27.
go back to reference Optic Neuritis Study Group (2008) Multiple sclerosis risk after optic neuritis: final optic neuritis treatment trial follow-up. Arch Neurol 65:727–732CrossRef Optic Neuritis Study Group (2008) Multiple sclerosis risk after optic neuritis: final optic neuritis treatment trial follow-up. Arch Neurol 65:727–732CrossRef
31.
go back to reference Takahashi T, Fujihara K, Nakashima I, Misu T, Miyazawa I, Nakamura M, Watanabe S, Shiga Y, Kanaoka C, Fujimori J, Sato S, Itoyama Y (2007) Anti-aquaporin-4 antibody is involved in the pathogenesis of NMO: a study on antibody titre. Brain 130:1235–1243. doi:10.1093/brain/awm062 PubMedCrossRef Takahashi T, Fujihara K, Nakashima I, Misu T, Miyazawa I, Nakamura M, Watanabe S, Shiga Y, Kanaoka C, Fujimori J, Sato S, Itoyama Y (2007) Anti-aquaporin-4 antibody is involved in the pathogenesis of NMO: a study on antibody titre. Brain 130:1235–1243. doi:10.​1093/​brain/​awm062 PubMedCrossRef
32.
go back to reference Purvin V, Kawasaki A, Jacobson DM (2001) Optic perineuritis: clinical and radiographic features. Arch Ophthalmol 119:1299–1306PubMed Purvin V, Kawasaki A, Jacobson DM (2001) Optic perineuritis: clinical and radiographic features. Arch Ophthalmol 119:1299–1306PubMed
33.
go back to reference Dutton JJ, Anderson RL (1985) Idiopathic inflammatory perioptic neuritis simulating optic nerve sheath meningioma. Am J Ophthalmol 100:424–430PubMed Dutton JJ, Anderson RL (1985) Idiopathic inflammatory perioptic neuritis simulating optic nerve sheath meningioma. Am J Ophthalmol 100:424–430PubMed
36.
go back to reference Newman NJ, Lessel S, Winterkorn JMS (1991) Optic chiasmal neuritis. Neurology 41:1203–1210PubMed Newman NJ, Lessel S, Winterkorn JMS (1991) Optic chiasmal neuritis. Neurology 41:1203–1210PubMed
38.
go back to reference Headache Classification Sub-committee of the International Headache Society (2004) The international classification of headache disorder, 2nd edn. Cephalgia 24:1–160 Headache Classification Sub-committee of the International Headache Society (2004) The international classification of headache disorder, 2nd edn. Cephalgia 24:1–160
Metadata
Title
Orbital and anterior visual pathway infection and inflammation
Authors
Roel De Wyngaert
Ingele Casteels
Philippe Demaerel
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 6/2009
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-009-0505-z

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