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Pulsating unilateral exophthalmos
    Differential Diagnosis[Top] [Nav]
neurofibromatosis 1, carotid artery-cavernous sinus fistula, ophthalmic artery aneurysm, orbital cirsoid aneurysm, rapidly growing highly vascular orbital neoplasm
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Defines unilateral exophthalmos as an asymmetry of more than 2 mm. Also notes 4 causes of pseudo-exophthalmos: (1) unilateral ocular enlargement; (2) unequal orbital size; (3) extra-ocular muscle abnormalities after trauma or a nerve injury; (4) enophthalmos of contralateral eye; (5) asymmetric palpebral fissures, as might be seen in ptosis, lid retraction, or facial nerve paresis. [103]
    Footnotes in Print Edition[Top] [Nav]
    (1) Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 34-1984. Ocular injury and unilateral exophthalmos in a 30-year-old woman.
  N Engl J Med 1984 Aug 23;311(8):520-7.  Pubmed  Similars
    (2) Hamilton Bailey's Demonstrations of Physical Signs in Clinical Surgery. 17th ed.
  Clain A. Bristol, UK: John Wright, 1986: 81.   Amazon.com
    (3) Neurofibromatosis: Phenotype, Natural History, and Pathogenesis.
  Riccardi VM, Eichner JE. Baltimore: Johns Hopkins University Press, 1986: 137.   Amazon.com
    (4) The Healing Hand: Man and Wound in the Ancient World.
  Majno G. Cambridge, MA: Harvard, 1975: 105.   Amazon.com
    New References[Top] [Nav]
Neurofibromatosis
    101.Neurofibromatosis: Phenotype, Natural History, and Pathogenesis. 2nd ed.
  Riccardi VM. Baltimore: Johns Hopkins University Press, 1992.   Amazon.com
    102.Ocular pulsation in neurofibromatosis. A clinical/neuroradiologic correlation.
  Smith JL, Bowen BC.   J Clin Neuroophthalmol 1993 Sep;13(3):163-70.  Pubmed+Abstract  Similars
Exophthalmos
    103.Evaluation of exophthalmos.
  Grove AS Jr.   N Engl J Med 1975 May 8;292(19):1005-13.  Pubmed  Similars
    104.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 47-1986. A 64-year-old man with unsteady gait and unilateral exophthalmos.
  N Engl J Med 1986 Nov 27;315(22):1401-9.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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