Abstract
Abstract
Background
Orbital apex syndrome (OAS) is a rare disease with a noticeable mortality rate. Although its etiology has been repeatedly assessed, few reports have concentrated on odontogenic infection. We presented a rare case of OAS secondary to apical periodontitis.
Case presentation
A 61-year-old male was admitted to our hospital for a 3-day history of left orbital and head pain, along with diplopia for 1-day. He also had toothache symptoms before his admission. Due to the atypical early symptoms of orbital apex and cranial nerve injury, no timely and effective diagnosis and treatment were initially provided. However, as the disease progressed and complications occurred, we timely adjusted the diagnosis and successfully controlled the infection. During the one-year follow-up, no recurrence of inflammation was observed; nevertheless, the ptosis and ophthalmoplegia persisted.
Conclusions
OAS is a rare, while severe complication of odontogenic infection. This case had various symptoms and nerve injury in the orbital apical area. When disease is atypical in its early stages, treatment is easily overlooked. Early detection and suspicion of orbital apex-related complications should be heightened.
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),General Medicine
Reference10 articles.
1. Badakere A, Patil-Chhablani P. Orbital apex syndrome: a review. Eye and brain. 2019;11:63–72.
2. Aryasit O, Preechawai P, Aui-Aree N. Clinical presentation, aetiology and prognosis of orbital apex syndrome. Orbit (Amsterdam, Netherlands). 2013;32(2):91–4.
3. Warburton RE, Brookes CC, Golden BA, Turvey TA. Orbital apex disorders: a case series. Int J Oral Maxillofac Surg. 2016;45(4):497–506.
4. Caruso PA, Watkins LM, Suwansaard P, Yamamoto M, Durand ML, Romo LV, et al. Odontogenic orbital inflammation: clinical and CT findings--initial observations. Radiology. 2006;239(1):187–94.
5. de Medeiros EH, Pepato AO, Sverzut CE, Trivellato AE. Orbital abscess during endodontic treatment: a case report. J Endod. 2012;38(11):1541–3.