This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Infectious Diseases, Other  • Pediatric Neurology  • Neurology, Other  • Pediatrics  • Pediatrics, Other  • Diagnosis  • Alert me on articles by topic  Social Bookmarking   What's this?

Muhammad Ibrahim, MD; Shubhangi Chitnis, MD; Kenneth Fallon, MD; Thomas Roberts, MD

Arch Neurol. 2009;66(2):272-273.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 12-year-old girl was seen for a 3-day history of diplopia, right-sided otalgia, and right-sided face numbness that had progressed during the past 24 hours to blindness and proptosis in the right eye. The medications she had been taking included azathioprine and prednisolone for autoimmune hepatitis, diagnosed 3 months earlier.

Physical examination showed right-sided facial numbness, ophthalmoplegia, a fixed dilated right pupil, and diminished visual acuity in her right eye. There was prominent right-sided facial droop with tongue deviation to the right. Preliminary laboratory workup showed that the patient was in diabetic ketoacidosis. Ear, nose, and throat examination showed nonviable-appearing tissue in the right nasal cavity. Magnetic resonance imaging of her head revealed nonviable tissue involving the right middle and inferior turbinates (Figure, E). The patient underwent an immediate nasal biopsy with debridement of the nasal . . . [Full Text of this Article]

COMMENT


AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?