AI Article Synopsis
- - A cholesteatoma is a non-cancerous growth made up of skin cells and keratin that can occur in the ear, and in this case, it was found surrounding the internal carotid arteries, leading to various symptoms.
- - The patient experienced visual and ocular symptoms, including possible issues with optic nerve cupping and other signs like dizziness and facial pain, indicating the seriousness of the mass effect on nearby structures.
- - Primary care optometrists are key in identifying and managing cholesteatomas since they can affect vision and ocular functions, highlighting the importance of monitoring for changes in patients with such intracranial lesions.
Article Abstract
Background: A cholesteatoma, also known as an epithelioma, is a mass of soft tissue that results from the accumulation of keratin protein debris enclosed by a layer of stratified squamous epithelium.
Case Report: A patient with cholesteatoma surrounding both internal carotid arteries presented with cerebral ischemic symptoms expressed as visual and ocular symptoms. Because of its location, mass effect, and potential stenosis of the internal carotids, this slow-growing tumor is potentially sight threatening. Asymmetric cupping of the optic nerves associated with symptoms such as dizziness, diplopia, or facial pain should be worked up carefully.
Conclusion: The primary care optometrist can play an important role in the diagnosis and continued management of a patient with a cholesteatoma, carefully monitoring early signs of progression or change. This case illustrates how an intracranial lesion, away from the eye, can impact a number of ocular and visual functions.
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| http://dx.doi.org/10.1016/j.optm.2009.11.001 | DOI Listing |
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