التفاصيل البيبلوغرافية
| العنوان: |
Orbital magnetic resonance imaging profile and clinicoradiological correlation in COVID-19-associated rhino-orbital-cerebral mucormycosis: A single-center study of 270 patients from North India. |
| المؤلفون: |
Hada, Maya, Gupta, Parul, Bagarhatta, Meenu, Tripathy, Koushik, Harsh, Anita, Khilnani, Kamlesh, Mendiratta, Kuldeep, Agarwal, Sunita, Chouhan, Jugal, Bhandari, Sudhir, Chouhan, Jugal Kishore |
| المصدر: |
Indian Journal of Ophthalmology; Feb2022, Vol. 70 Issue 2, p641-648, 8p |
| مصطلحات موضوعية: |
MAGNETIC resonance imaging, MUCORMYCOSIS, FACIAL pain, CELLULITIS, SYMPTOMS, PARANASAL sinuses |
| مصطلحات جغرافية: |
INDIA |
| مستخلص: |
Purpose: To study the clinical profile and magnetic resonance imaging (MRI) features in patients of COVID-19-associated rhino-orbital-cerebral mucormycosis (CA-ROCM) with orbital involvement and perform a clinicoradiological correlation.Methods: A cross-sectional study was performed at a tertiary care center in north India from May 2021 to June 2021. Consecutive patients with clinical, nasal endoscopic, and/or microbiological evidence of CA-ROCM underwent MRI of paranasal sinuses, orbit, and brain as per the study protocol. Orbital MRI findings were studied in detail and were correlated with clinical signs.Results: Two hundred and seventy patients were studied. The mean age was 48.4 (± 16.82) years. A male predilection was noted (male:female = 1.77). Orbital involvement was seen in 146 (54%) patients on clinical evaluation and in 184 (68%) patients on MRI. Unilateral orbital involvement was more common (134; 92%). The most common presenting symptom was periorbital and/or facial pain (141; 52.2%) and the most common clinical sign was periorbital edema (116; 43%). The most common MRI finding was suggestive of orbital cellulitis (160; 59%). Orbital compartment syndrome was found in 17 (6.3%) patients. The inter-rater agreement between clinical and radiological assessments to detect the involvement of infraorbital nerve and frontal nerve was found to be 85.56%, (κ 0.621) and 93.70% (κ 0.776), respectively. The diagnostic accuracy, sensitivity, and specificity of MRI to detect medial orbital wall defect were found to be 87.9%, 65%, and 97%, respectively.Conclusion: Orbital imaging features of a cohort of ROCM patients have been presented with clinicoradiological correlation. [ABSTRACT FROM AUTHOR] |
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