Presentation
Left periorbital swelling. Proptosis. Chemosis. Not responding to flucloxacillin.
Patient Data
Age: 70
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Left orbit
- periorbital edema
- preseptal fat stranding
- post-septal, extraconal stranding
- exopthalmos
- levator palpebrae superioris (LPS) markedly enlarged
- LPS enhancement
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Left orbit
- periorbital edema
- preseptal fat stranding
- post-septal, extraconal stranding
- exopthalmos
- levator palpebrae superioris (LPS) markedly enlarged
- LPS enhancement
- superior rectus muscle displaced inferiorly
Case Discussion
- patient presented with marked periorbital edema
- treated empirically with oral antibiotics
- this didn't respond and a CT demonstrated marked orbital edema and LPS swelling
- MRI was performed to exclude an enhancing mass, collection, or myositis
- MRI confirmed LPS myositis
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