Abstract Archives of the RSNA, 2014
NRE300
Orbital Inflammation & Infection: What Does the Clinician Need to Know?
Education Exhibits
Presented in 2014
Bethany Milliron MD, Presenter: Nothing to Disclose
Kristen Lloyd Baugnon MD, Abstract Co-Author: Nothing to Disclose
Hee Joon Kim MD, Abstract Co-Author: Nothing to Disclose
Hans Grossniklaus MD, MBA, Abstract Co-Author: Nothing to Disclose
Ashley Hawk Aiken MD, Abstract Co-Author: Nothing to Disclose
- Review orbital and periorbital anatomy
- Describe imaging features of orbital inflammatory and infectious processes
- Discuss pertinent findings important to clinician to direct diagnosis and biopsy
1. Review orbital and periorbital anatomy
a. Structures within the orbits (globe, extraocular muscles, lacrimal glands, etc)
b. Pertinent periorbital structures (paranasal sinuses, cavernous sinus)
2. Orbital infections
a. Orbital cellulitis
b. Complications of bacterial and invasive fungal sinusitis
3. Orbital inflammation
a. Common causes
i. Thyroid eye disease
ii. Nonspecific orbital inflammation (pseudotumor)
b. Uncommon causes
i. Sarcoidosis
ii. Wegener’s granulomatosis
iii. Lupus, scleroderma
iv. IgG4
4. Management of orbital inflammation and infection
a. When to biopsy and when can biopsy be avoided
5. Summary
a. Clear understanding of orbital anatomy is vital to accurate assessment and diagnosis
b. Orbital cellulitis and complications of bacterial and invasive fungal sinusitis are important to recognize and describe accurately
c. Most common cause of orbital inflammation is thyroid eye disease
d. Close clinical, surgical, and pathological correlation to better understand orbital inflammation, its course, and management
http://abstract.rsna.org/uploads/2014/14010477/14010477_j1pv.pdf
Milliron, B,
Baugnon, K,
Kim, H,
Grossniklaus, H,
Aiken, A,
Orbital Inflammation & Infection: What Does the Clinician Need to Know?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14010477.html