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Failure of contrast enhanced computed tomography scans to identify an orbital abscess. The benefit of magnetic resonance imaging

Published online by Cambridge University Press:  19 July 2007

D Mcintosh*
Affiliation:
Department of Paediatric Otolaryngology, Head and Neck Surgery, Auckland Starship Children's Hospital, Grafton, New Zealand
M Mahadevan
Affiliation:
Department of Surgery, Auckland School of Medicine, University of Auckland, Auckland, New Zealand
*
Address for correspondence: David McIntosh, Department of Paediatric Otolaryngology, Head and Neck Surgery, Auckland Starship Children's Hospital, Park Road, Grafton, New Zealand. Fax: 64 9 307 8952 E-mail: [email protected]

Abstract

Introduction:

Acute sinusitis is a relatively common condition, which usually responds to medical therapy. In most cases, there are no sequelae or complications subsequent to this infection. However, like many acute illnesses, there are well documented complications of acute sinusitis, and in particular these include peri-orbital and intracranial spread.

Objective:

The purpose of this paper is to highlight the importance of vigilance in peri-orbital involvement and the limitations of imaging techniques, such as computed tomography scanning. An illustrative case is presented to demonstrate this.

Conclusion:

Magnetic resonance imaging scanning is a valuable modality in assessing complex presentations of peri-orbital complications of acute sinusitis.

Type
Clinical Record
Copyright
Copyright © JLO (1984) Limited 2007

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References

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