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Orbito-Masticatory Syndrome JOURNAL OF NEURO-OPHTHALMOLOGY Mettu, P., Bhatti, M., El-Dairi, M. A., Price, E. B., Lin, A. Y., Alaraj, A., Setabutr, P., Moss, H. E. 2016; 36 (3): 308-312

Abstract

We describe 2 unique cases of visual symptoms occurring during mastication in patients with lateral orbital wall defects. A 57-year-old man reported intermittent double vision and oscillopsia after a right fronto-temporal-orbito-zygomatic craniotomy with osteotomy of the lesser wing of the sphenoid for a complex invasive pituitary adenoma. Proptosis of the right globe was present only during mastication. Computed tomography (CT) revealed a bony defect in the right lateral orbital wall. A 48-year-old man presented with transient diplopia and scotoma in the right eye elicited by chewing. CT and magnetic resonance imaging demonstrated a bilobed lesion connecting the temporal fossa to the orbit through a defect in the right lateral orbital wall. The regional neuroanatomy and pathophysiology as pertaining to these cases are discussed.

View details for DOI 10.1097/WNO.0000000000000354

View details for Web of Science ID 000383274600020

View details for PubMedID 26919071

View details for PubMedCentralID PMC4772138