Comment explorer une exophtalmie? [How to investigate a patient with exophthalmos?]

Details

Serval ID
serval:BIB_EBA99DB29051
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Comment explorer une exophtalmie? [How to investigate a patient with exophthalmos?]
Journal
Journal of Neuroradiology
Author(s)
Brun V., Lafitte F., Hamedani M., Heran F., Koskas P., Berges O., Chiras J., Piekarski  J. D.
ISSN
0150-9861
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
29
Number
3
Pages
161-172
Language
french
Abstract
Exophthalmos is the main symptom revealing orbital masses. This sign needs to be imaged mainly by MRI and/or CT. As Graves disease is the main etiology of exophthalmos, CT scan should be performed as the initial imaging modality. Indications for US and Doppler are mostly limited to the study of ocular masses, and eventually may help the characterization of extra-ocular lesions. In all cases, imaging is useful to characterize: the precise location of the lesion which can be the intra-conal space (including muscles), the extra-conal space (associated or not to an extra-orbital lesion), or the eyeball; the features of the lesion (density, signal, enhancement.). These findings are used to generate a differential diagnosis. Imaging is also useful to precise the extension of the mass, and in some cases to select the appropriate surgical approach, and for follow-up.
Keywords
Diagnosis, DifferentialExophthalmos/classification/*diagnosis/*etiology/therapyGraves Disease/complicationsHumansMagnetic Resonance ImagingMedical History TakingOrbital Neoplasms/classification/complicationsPatient SelectionPhysical ExaminationReproducibility of ResultsSensitivity and SpecificitySeverity of Illness IndexTomography, X-Ray ComputedUltrasonography, Doppler
Pubmed
Web of science
Create date
09/03/2009 9:02
Last modification date
20/08/2019 16:13
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