Aug. 19, 2023
Nearly 3,000 illustrations, including video clips of neurologic disorders.
Every article is reviewed by our esteemed Editorial Board for accuracy and currency.
Full spectrum of neurology in 1,200 comprehensive articles.
Listen to MedLink on the go with Audio versions of each article.
A 54-year-old female presented with a history of progressive proptosis, ptosis, diplopia, and periocular pain over a 6-week interval, despite prednisone treatment. CT scan revealed a mass that indented the globe. Orbital biopsy revealed a dense fibrotic mass consistent with sclerosing orbital pseudotumor. A debulking procedure and release of the superior and medial rectus muscles resulted in return of full motility. High-dose corticosteroid treatment prevented further progression. The ptosis was complete and permanent, requiring a silicone frontalis sling procedure. (Contributed by Dr. Mark Duffy.)