Thyroid orbitopathy

Case contributed by A.Prof Frank Gaillard

Presentation

History withheld

Patient Data

Age: 45 years
Gender: Female
CT

CT orbits

 

There is severe radiological proptosis bilaterally.  There is diffuse, fusiform thickening of the inferior rectus, medial rectus and superior rectus muscles bilaterally, The inferior and medial recti most effected, with the superior recti less so. There is very minimal fat stranding surrounding the aforementioned affected extra-ocular muscles. There is mild increase in the volume of intraorbital fat also, which is likely a consequence of thyroid eye disease. No focal intra or extraconal mass or collection identified.

No bony abnormality identified. Imaged paranasal sinuses are clear other than for mild left anterior ethmoid air cells disease.
Imaged brain and intracranial contents are unremarkable.

Conclusion

Findings in keeping with severe thyroid orbitopathy.

Case Discussion

This patient had an established diagnosis of Graves disease, and has typical appearances of thyroid orbitopathy.

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Case information

rID: 23140
Case created: 24th May 2013
Last edited: 2nd Mar 2017
System: Head & Neck
Inclusion in quiz mode: Included

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