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Case 7

Posted on August 25, 2014 by Dr. Shruthi Shridhar

Mr. AC(67 year old)came with the complaint of  Ptosis of left upper eyelid, with blurring of vision.

Ptosis was due to a soft tissue lesion in the left frontal sinus  which was diagnosed as  mucocele(benign lesion).

Mucocele was operated in Jan 2012 followed by Ptosis.

Patient complained of numbness in frontal region and left supraorbital region.

He had chronic sinusitis since last 20 years. Left sided headache and tinnitus.

He also had Psoriasis on both hands and soles since 2000.

He had undergone bypass surgery in 2007.

He is very honest, sincere and cannot support injustice.

5-12-11 T-ScanBrain+Orbit A low attenuating,non-enhancing soft tissue lesion in the left frontal sinus with its intraorbital extension and bony involvement as described above.This is likely to suggest a benign lesion like mucocele.
21-3-12 CT-Scan PNS(POSTOPERATIVE) In an operated case of left frontal mucocele.CT PNS study shows awell defined non-enhancing soft tissue lesion in the left frontal sinus with its intraorbital extension  and bony involvement as described above.This is likely to suggest recurrence or residual mucocele.The appearance of the right frontal sinus may be suggestive of chronic sinusitis with inspissation ? small mucocele.
10-4-12 S.Ige 40.1 IU/ml
10-4-12 Allergy Test Fungi,Dust,Cat dander,Pigeon droppings,Moong dal,Besan,Rice,Brinjal,Orange,Chicken.

  

FOLLOW UP

DATE COMPLAINTS
10-4-12    Left upper eyelid ptosis .Swelling and pricking pain in eye.Skin-psoriasis  of both hands and soles.Sinusits.
01-05-12                        Eye -can open better.Swelling reduced. Skin cracks and dryness on feet and hands. Sinusitis better.
12-6-12 Eye much more open. Itching of hands.Psoriatic lesions on arms and legs.Cracks reduced. Sinusitis better.
10-07-12 Eye fully opened. Skin-cracks in feet and hands(palms) better. No complaint of sinuses.
18-08-12 Eye -better.No complaints at all.Cracks  better.

 

Before

Cured case - case 7 - before

 

After

AC 15.8.2012 (2)

‹ Case 6
Case 8 ›
Posted in curedcases
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