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

Détails

ID Serval
serval:BIB_EBA99DB29051
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Comment explorer une exophtalmie? [How to investigate a patient with exophthalmos?]
Périodique
Journal of Neuroradiology
Auteur⸱e⸱s
Brun V., Lafitte F., Hamedani M., Heran F., Koskas P., Berges O., Chiras J., Piekarski  J. D.
ISSN
0150-9861
Statut éditorial
Publié
Date de publication
2002
Peer-reviewed
Oui
Volume
29
Numéro
3
Pages
161-172
Langue
français
Résumé
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.
Mots-clé
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
Création de la notice
09/03/2009 10:02
Dernière modification de la notice
20/08/2019 17:13
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