Pulsating Exophthalmos: Causes & Reasons

Possible Causes for Pulsating Exophthalmos

A case of spontaneous carotid cavernous sinus fistula in a young adult male who presented with pulsating exophthalmos and secondary glaucoma is presented. [ncbi.nlm.nih.gov]

The orbital or frontal bruit and pulsating exophthalmos are common only to the carotid-cavernous fistula. [ncbi.nlm.nih.gov]

The symptoms include chemosis, proptosis, pulsating exophthalmos, diplopia, ophthalmoplegia, orbital pain, audible bruits, and blindness. [ncbi.nlm.nih.gov]

Cavernous Sinus Aneurysm

exophthalmos suggests a direct C-C fistula) Ocular and cranial bruits Conjunctival congestion; arterialization of conjunctival veins Ocular hypertension Optic disc edema [emedicine.medscape.com]

The left eye showed no chemosis, pulsation, or bruit. Ophthalmologic examination of the left eye revealed traumatic optic neuropathy. [nejm.org]

exophthalmos, lid congestion, conjunctival chemosis, orbital congestion, ocular hypertension, visual loss, optic neuropathy, optic disc edema, retinal hemorrhages, retinal [emedicine.medscape.com]

Familial Adenomatous Polyposis

Familial adenomatous polyposis (FAP) is characterized by the early onset of hundreds to thousands of adenomas in the rectum and colon. Symptoms are uncommon until the adenomas are large and numerous causing hematochezia or anemia. Other non-specific complaints such as change in bowel habits, constipation,[…] [symptoma.com]

Internal Carotid Artery Aneurysm

We describe a technique to clip a large internal carotid artery (ICA) aneurysm via a retrograde suction decompression (RSD). A large aneurysm in the right distal ICA involving the bifurcation region measuring 1.2×1.1×0.7 cm with posterior projection was managed with assisted RSD technique. The anterior choroidal[…] [ncbi.nlm.nih.gov]

Orbital Neoplasm

Abstract Cross-sectional CT and MR imaging studies supplement fundoscopic and clinical ophthalmologic examination in patients with orbital neoplasms, providing diagnostic information and facilitating treatment planning by allowing precise identification of disease extent. Orbital neoplasms in adults may be categorized on[…] [pubs.rsna.org]

Orbital Burkitt's Lymphoma

Case Reports. 2017 Apr;92(4):178-180. doi: 10.1016/j.oftal.2016.10.002. Epub 2016 Nov 25. [Article in English, Spanish] Affiliations PMID: 27894519 DOI: 10.1016/j.oftal.2016.10.002 Case Reports Proptosis as initial manifestation of Burkitt's lymphoma with orbital involvement [Article in English, Spanish] A de Freytas et al. Arch[…] [pubmed.ncbi.nlm.nih.gov]

Orbital Rhabdomyosarcoma

Case Reports. 2020 Nov 3;S0365-6691(20)30360-9. doi: 10.1016/j.oftal.2020.09.004. Online ahead of print. [Article in English, Spanish] Affiliations PMID: 33153818 DOI: 10.1016/j.oftal.2020.09.004 Case Reports Multidisciplinary approach to orbital embryonic rhabdomyosarcoma: about a case [Article in English, Spanish] A[…] [pubmed.ncbi.nlm.nih.gov]

Pulsating Exophthalmos

[…] aneurysm involving the internal carotid artery and the cavernous sinus of the orbit. pulsating exophthalmos Exophthalmos accompanied by pulsation and bruit due to an aneurysm [medical-dictionary.thefreedictionary.com]

EXOPHTHALMOS. ( 18168862 ) Lazarescu D....Lazarescu E. 1930 41 PULSATING EXOPHTHALMOS. ( 17866346 ) Hanford J.M....Wheeler J.M. 1930 42 Acute Pulsating Exophthalmos: Ligature [malacards.org]

A patient with pulsating exophthalmos is presented. [ncbi.nlm.nih.gov]

Orbital Varix

The patient typically has a history of head trauma, and findings include pulsating exophthalmos, bruit over the eye, and tortuous episcleral vessels [3]. [eyewiki.aao.org]

Congenital Exophthalmos

pulsating exophthalmos due to an arteriovenous fistula of the orbit. [medical-dictionary.thefreedictionary.com]

It is now performed only in cases of pulsating exophthalmos and in those associated with a bruit or thrill. [ikeyes.blogspot.com]

Causes and Risk factors: Exophthalmos refers to abnormal protrusion of the eye. Some forms are associated with pulsations of the globe. [medigoo.com]

Exophthalmic Ophthalmoplegia

Spontaneous unilateral pulsating exophthalmos. Amer. J. Ophthal. 36, 40–44 (1953). [link.springer.com]

Unilateral pulsating exophthalmos associated with multiple bony tumours (some pulsating) and a nodular thyreoid swelling. Proc. roy. Soc. Med. 45, 507–509 (1952). [link.springer.com]

Kierland: Neurofibromatosis and congenital unilateral pulsating and non-pulsating exophthalmos. Arch. Ophthal. (Chicago) 53, 5–12 (1955). Google Scholar Bucy, P. C., J. [link.springer.com]

Neurofibromatosis Type 1

Neurofibromatosis type 1 (NF1) is a genetic condition that causes tumours to grow along your nerves. The tumours are usually non-cancerous (benign) but may cause a range of symptoms. Neurofibromatosis type 2 (NF2) is much less common than NF1. It's covered separately as it has different symptoms and causes.[…] [nhs.uk]

Meckel Syndrome Type 8

exophthalmos suggests a direct C-C fistula) Ocular and cranial bruits Conjunctival congestion; arterialization of conjunctival veins Ocular hypertension Optic disc edema [emedicine.medscape.com]

exophthalmos, lid congestion, conjunctival chemosis, orbital congestion, ocular hypertension, visual loss, optic neuropathy, optic disc edema, retinal hemorrhages, retinal [emedicine.medscape.com]

[…] combined ophthalmoplegia Painful ophthalmoplegia Decreased pain sensation in the V1 ophthalmic division Carotid-cavernous fistulas Direct: Unilateral massive proptosis, pulsating [emedicine.medscape.com]

Meckel Syndrome Type 2

exophthalmos suggests a direct C-C fistula) Ocular and cranial bruits Conjunctival congestion; arterialization of conjunctival veins Ocular hypertension Optic disc edema [emedicine.medscape.com]

exophthalmos, lid congestion, conjunctival chemosis, orbital congestion, ocular hypertension, visual loss, optic neuropathy, optic disc edema, retinal hemorrhages, retinal [emedicine.medscape.com]

Sclerosing Keratitis

bilateral H05.259 Intermittent exophthalmos, unspecified eye H05.261 Pulsating exophthalmos, right eye H05.262 Pulsating exophthalmos, left eye H05.263 Pulsating exophthalmos [app.drchrono.com]

[…] eye H05.262 Pulsating exophthalmos, left eye H05.263 Pulsating exophthalmos, bilateral H05.269 Pulsating exophthalmos, unspecified eye H05.3 Deformity of orbit Excludes1: [en.wikisource.org]

bilateral H05.269 Pulsating exophthalmos, unspecified eye H05.30 Unspecified deformity of orbit H05.311 Atrophy of right orbit H05.312 Atrophy of left orbit H05.313 Atrophy [app.drchrono.com]

Exophthalmos

pulsating exophthalmos due to an arteriovenous fistula of the orbit. [medical-dictionary.thefreedictionary.com]

Contribution to the knowledge of the pulsating exophthalmos. Cover crease. Some chips & tears to cover. Rubberstamp. Good. [iberlibro.com]

see also euryblepharon. inherited exophthalmos exophthalmos with strabismus is inherited in cattle. ophthalmoplegic exophthalmos inability to move the eye because of exophthalmos [medical-dictionary.thefreedictionary.com]

Secondary Glaucoma

A case of spontaneous carotid cavernous sinus fistula in a young adult male who presented with pulsating exophthalmos and secondary glaucoma is presented. [ncbi.nlm.nih.gov]

Neurofibromatosis

exophthalmos An optic glioma and Lisch nodules (iris hamartomas) occur in some patients. [msdmanuals.com]

[…] bone cysts Vertebral scalloping Thinning of the long-bone cortex Pseudarthrosis Absence of the greater wing of the sphenoid bone (posterior orbital wall), with consequent pulsating [msdmanuals.com]

Dural Sinus Malformation

Ocular manifestations include pulsating exophthalmos, orbital congestion, and oculomotor disorders. DAVMS situated primarily in the inferior petrosal sinus is unusual. [nature.com]

The indirect form typically occurs spontaneously and is only rarely secondary to trauma. 24 Patients typically present with ocular symptoms – pulsating exophthalmos, orbital [jaocr.org]

Syndromic Microphthalmia Type 10

This may present as pulsating exophthalmos or a mass in the upper lid or nasopharynx. [ 10 ] Facial masses should not be biopsied without prior imagining. [patient.info]

Neurofibroma

exophthalmos Other clinical findings include: optic glioma and Lisch nodules (iris hamartomas) and changes in arterial walls leading to Moyamoya disease or intracranial artery [symptoma.com]

exophthalmos An optic glioma and Lisch nodules (iris hamartomas) occur in some patients. [merckmanuals.com]

[…] include: Scoliosis Pseudoarthrosis Fibrous dysplasia Vertical scalloping Subperiosteal bone cyst Thinning of the long-bone cortex Posterior orbital wall is absent, with pulsating [symptoma.com]

Isolated Congenital Sclerocornea

This may present as pulsating exophthalmos or a mass in the upper lid or nasopharynx. [ 10 ] Facial masses should not be biopsied without prior imagining. [patient.info]

Coloboma of Eyelid

This may present as pulsating exophthalmos or a mass in the upper lid or nasopharynx. [ 10 ] Facial masses should not be biopsied without prior imagining. [patient.info]

Mucocele of the Sphenoid Sinus

Pulsating exophthalmos due to sphenoidal sinus mucocele. Lancet19321: 1253–1254.O'Shea H. V. Pulsating exophthalmos due to sphenoidal sinus mucocele. [thejns.org]

Cavernous Sinus Thrombosis

exophthalmos suggests a direct C-C fistula) Ocular and cranial bruits Conjunctival congestion; arterialization of conjunctival veins Ocular hypertension Optic disc edema [emedicine.com]

These lesions present acutely with pulsating exophthalmos, chemosis, and CS syndrome. [ajnr.org]

exophthalmos, lid congestion, conjunctival chemosis, orbital congestion, ocular hypertension, visual loss, optic neuropathy, optic disc edema, retinal hemorrhages, retinal [emedicine.com]

Optic Nerve Glioma

exophthalmos (due to absence of the sphenoid wing) SYMPTOMS of OPTIC NERVE GLIOMA Proptosis Strabismus Painless vision loss Enlarging blind spot on visual field testing TREATMENT [eyerounds.org]

[…] melanocytic nevi ( Lisch nodules in 94-97% of patients > 6 yrs old) Retinal glial hamartomas Congenital glaucoma Optic nerve glioma (pilocytic astrocytoma with Rosenthal fibers) Pulsating [eyerounds.org]

Cerebral Arteriovenous Malformation

Pulsating exophthalmos. Ann. Surg. 1930 92 : 8 – 22. Hanford J. M. and Wheeler J. M. Pulsating exophthalmos. Ann. Surg. 1930 92: 8–22. [doi.org]

Treatment of pulsating exophthalmos. Arch. Surg. 1933 27 : 676 – 685. Hamby W. B. and Gardner W. J. Treatment of pulsating exophthalmos. Arch. Surg. 1933 27: 676–685. [doi.org]

Intracranial arteriovenous aneurism or pulsating exophthalmos. Ann. Surg. 1924 80 : 1 – 24. Locke C. E. Intracranial arteriovenous aneurism or pulsating exophthalmos. [doi.org]

Infantile Choroidocerebral Calcification Syndrome

The indirect form typically occurs spontaneously and is only rarely secondary to trauma. 24 Patients typically present with ocular symptoms – pulsating exophthalmos, orbital [jaocr.org]

Ehlers-Danlos Syndrome Type 4

CCF clinical diagnosis is based on the existence of tinnitus, thrill, headaches and pulsating exophthalmos [16,18,19]. [ncbi.nlm.nih.gov]

CCF clinical diagnosis is based on the existence of tinnitus, thrill, headaches and pulsating exophthalmos [16, 18, 19]. [ojrd.biomedcentral.com]

Neurofibromatosis Type 2

exophthalmos An optic glioma and Lisch nodules (iris hamartomas) occur in some patients. [merckmanuals.com]

Skull deformity due to sphenoid wing dysplasia can lead to pulsating exophthalmos. [patient.info]