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C.M. Meyerle, M.A. Murphy; Orbital encephalocele masquerading as a cavernous sinus thrombosis . Invest. Ophthalmol. Vis. Sci. 2004;45(13):267.
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Purpose: To report a case of an orbital encephalocele in the setting of bilateral orbital roof fractures and orbital hematomas which masqueraded as a cavernous sinus thrombosis. Methods: An observational case report of a 48–year–old man with a recent history of a bifrontal craniotomy with intraoperative radiation for melanoma metastases who developed mental status changes, fever, vomiting, bilateral proptosis and elevated intraocular pressures after sustaining a minor fall. Results: Neuroimaging revealed bilateral orbital roof fractures and orbital hematomas with right orbital encephalocele. There was no radiographic evidence of a cavernous sinus thrombosis. Conclusions: The clinical presentation of an orbital encephalocele can masquerade as a cavernous sinus thrombosis.
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