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Unilateral endocrine exophthalmos. Diagnostic problems in association with computed tomography

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Summary

Swollen orbital extraocular muscles may mimic an orbital apex tumor on computed tomography. In five of our patients, in spite of highly suggestive findings on CT scanning, indicating the presence of an orbital apex lesion, the correct diagnosis proved to be endocrine exophthalmos. The value of complementary CT projections and of orbital ultrasonography to assist in the differential diagnosis is discussed, and the additional contribution of orbital phlebography for the confirmation of lesions in the orbital apex is emphasized.

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Author notes

  1. J. Brismar

    Present address: Department of Radiology (Neuroradiology), University Hospital, Lund, Sweden

  2. G. Brismar

    Present address: Department of Ophthalmology (G. B.), University Hospital, Lund, Sweden

Authors and Affiliations

  1. Department of Radiology (Neuroradiology), Massachusetts General Hospital, the Harvard Medical School, Boston, Massachusetts, USA

    J. Brismar, K. R. Davis, R. L. Dallow & G. Brismar

  2. Department of of Ophthalmology, Massachusetts Eye and Ear Infirmary, the Harvard Medical School, Boston, Massachusetts, USA

    J. Brismar, K. R. Davis, R. L. Dallow & G. Brismar

Authors
  1. J. Brismar
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  2. K. R. Davis
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  3. R. L. Dallow
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  4. G. Brismar
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Brismar, J., Davis, K.R., Dallow, R.L. et al. Unilateral endocrine exophthalmos. Diagnostic problems in association with computed tomography. Neuroradiology 12, 21–24 (1976). https://doi.org/10.1007/BF00344222

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  • DOI: https://doi.org/10.1007/BF00344222

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