Radiologic evaluation in the diagnosis of diplopia due to unilateral accessory extraocular muscle.

This case report details a case of a 52-year-old female with a history of diplopia and an elevation deficit in her right eye. Initially misdiagnosed as an atavistic retractor bulbi muscle in 2005 via MRI, symptoms persisted despite surgical excision. Follow-up MRI in 2023 confirmed no changes, ruling out other causes like nerve palsy or schwannoma, and ultimately guiding diagnosis towards an accessory extraocular muscle.

Patient-reported disease control versus overall symptom severity as global metrics of chronic rhinosinusitis disease status.

Background: Overall symptom severity (OSS) and patient-reported chronic rhinosinusitis (CRS) control are global measures of CRS identified as consensus, essential criteria for CRS disease control assessment. We sought to determine the functional relationship between these two metrics.

Methods: Using an international multicenter mixed-methods design, 260 CRS patients were recruited.