Watershed cerebral infarction secondary to idiopathic orbital inflammatory disease

Authors

  • Jorge A. Ramírez-Quiñones Médico Neurólogo, Departamento de Investigación, Docencia y Atención Especializada en Enfermedades Neurovasculares y Metabólicas, Instituto Nacional de Ciencias Neurológicas, Lima, Perú
  • Danny M. Barrientos-Imán Médico Neurólogo, Departamento de Investigación, Docencia y Atención Especializada en Enfermedades Neurovasculares y Metabólicas, Instituto Nacional de Ciencias Neurológicas, Lima, Perú
  • Diana Rivas-Franchini Médico Patólogo, Departamento de Neuropatología, Instituto Nacional de Ciencias Neurológicas, Lima, Perú
  • Ana M. Valencia-Chávez Médico Neurólogo, Departamento de Investigación, Docencia y Atención Especializada en Enfermedades Neurovasculares y Metabólicas, Instituto Nacional de Ciencias Neurológicas, Lima, Perú
  • Carlos Abanto-Argomedo Médico Neurólogo, Departamento de Investigación, Docencia y Atención Especializada en Enfermedades Neurovasculares y Metabólicas, Instituto Nacional de Ciencias Neurológicas, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v79i1.14591

Keywords:

Cerebral Infarction, Orbital Pseudotumor, Cavernous Sinus, Cerebrovascular Disorders

Abstract

Watershed cerebral infarctions are those located in regions between two adjacent vascular territories and Idiopathic orbital inflammatory disease is a nonspecific inflammatory process of the orbit. We report the case of a 60-year-old man who presented suddenly in the right eye: exophthalmos, ptosis, reduced visual acuity and paresis of the extraocular muscles innervated by the III, IV and VI cranial nerves. Imaging studies showed a right retro-ocular mass with invasion of the ipsilateral cavernous and sphenoid sinus. During hospitalization, suddenly he presented a watershed infarction with narrowing of the right internal carotid artery in its intracavernous portion. Surgical excision of the lesion was performed and pathology showed a characteristic infiltration of idiopathic orbital inflammatory disease. Our case shows idiopathic orbital inflammatory disease as an uncommon cause of watershed cerebral infarction.

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Published

2018-06-07

Issue

Vol. 79 No. 1 (2018)

Section

Casos clínicos

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Copyright (c) 2018 Anales de la Facultad de Medicina

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How to Cite

1.
Ramírez-Quiñones JA, Barrientos-Imán DM, Rivas-Franchini D, Valencia-Chávez AM, Abanto-Argomedo C. Watershed cerebral infarction secondary to idiopathic orbital inflammatory disease. An Fac med [Internet]. 2018 Jun. 7 [cited 2024 Jul. 17];79(1):44-8. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/14591