Decoding "guitar pick sign" in COVID-19-associated mucormycosis: A case series

被引：4

作者：

Reddy, Y. Muralidhar

Parida, Subhendu

Reddy, S. Bharathi

Yeduguri, Sreekanth

Pidaparthi, Lalitha

Jaiswal, Shyam K.

Sadhvani, Bhavna

Murthy, Jagarlapudi M. K.

机构：

[1] CARE Hosp, Dept Neurol, Banjara Hills, Hyderabad, Telangana, India

[2] CARE Hosp, Dept Pathol, Banjara Hills, Hyderabad, Telangana, India

来源：

INDIAN JOURNAL OF OPHTHALMOLOGY | 2022年 / 70卷 / 04期

关键词：

Coronavirus disease-19; guitar pick sign; non-salvageable vision loss; orbital mucormycosis; posterior globe tenting;

D O I：

10.4103/ijo.IJO_2598_21

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

"Guitar pick sign," also referred to as posterior globe tenting, is a radiological surrogate marker of tense orbit and profound vision loss. It is seen commonly in traumatic retrobulbar hemorrhage and carotico-cavernous fistula and less frequently in orbital cellulitis, subperiosteal abscess, and invasive fungal infections. We report a case series of Coronavirus disease-19-associated rhino-orbito-cerebral mucormycosis with guitar pick sign, of which none survived, and discuss the causative pathomechanisms, severity grade, and the clinical relevance of this unique radiological finding.

引用

页码：1425 / 1427

页数：3

共 10 条

[1]

DALLEY RW, 1989, AM J NEURORADIOL, V10, P181

[2]

Indiran V, 2019, INDIAN J OPHTHALMOL, V67, P1737, DOI 10.4103/ijo.IJO_404_19

[3] Clinical Outcomes in Children With Orbital Cellulitis and Radiographic Globe Tenting [J].

Lindsay, Rebecca A. ;

Weiss, Avery H. ;

Kelly, John P. ;

Anderson, Valerie C. ;

Lindsay, Theodore H. ;

Cabrera, Michelle T. .

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, 2018, 34 (04) :329-332

[4]

Malhotra Hardeep Singh, 2021, J Oral Biol Craniofac Res, V11, P569, DOI 10.1016/j.jobcr.2021.08.001

[5] Revisiting rhino-orbito-cerebral acute invasive fungal sinusitis in the era of COVID-19: pictorial review [J].

Manchanda, Smita ;

Semalti, Kapil ;

Bhalla, Ashu Seith ;

Thakar, Alok ;

Sikka, Kapil ;

Verma, Hitesh .

EMERGENCY RADIOLOGY, 2021, 28 (06) :1063-1072

[6] Demystifying Orbital Emergencies: A Pictorial Review [J].

Nguyen, Viet D. ;

Singh, Achint K. ;

Altmeyer, Wilson B. ;

Tantiwongkosi, Bundhit .

RADIOGRAPHICS, 2017, 37 (03) :947-962

[7] A new-found cause of "guitar pick sign": IGG4 related disease [J].

Reddy, Y. Muralidhar ;

Parida, Subhendu ;

Reddy, S. Bharathi ;

Tourani, Vijaya ;

Murthy, Jagarlapudi M. K. .

ACTA NEUROLOGICA BELGICA, 2022, 122 (01) :215-217

[8] Epidemiology, clinical profile, management, and outcome of COVID-19-associated rhino-orbital-cerebral mucormycosis in 2826 patients in India - Collaborative OPAI-IJO Study on Mucormycosis in COVID-19 (COSMIC), Report 1 [J].

Sen, Mrittika ;

Honavar, Santosh G. ;

Bansal, Rolika ;

Sengupta, Sabyasachi ;

Rao, Raksha ;

Kim, Usha ;

Sharma, Mukesh ;

Sachdev, Mahipal ;

Grover, Ashok K. ;

Surve, Abhidnya ;

Budharapu, Abhishek ;

Ramadhin, Abhishek K. ;

Tripathi, Abhishek Kumar ;

Gupta, Adit ;

Bhargava, Aditya ;

Sahu, Animesh ;

Khairnar, Anjali ;

Kochar, Anju ;

Madhavani, Ankita ;

Shrivastava, Ankur K. ;

Desai, Anuja K. ;

Paul, Anujeet ;

Ayyar, Anuradha ;

Bhatnagar, Aparna ;

Singhal, Aparna ;

Nikose, Archana Sunil ;

Bhargava, Arun ;

Tenagi, Arvind L. ;

Kamble, Ashish ;

Nariani, Ashiyana ;

Patel, Bhavin ;

Kashyap, Bibbhuti ;

Dhawan, Bodhraj ;

Vohra, Busaraben ;

Mandke, Charuta ;

Thrishulamurthy, Chinmayee ;

Sambare, Chitra ;

Sarkar, Deepayan ;

Mankad, Devanshi Shirishbhai ;

Maheshwari, Dhwani ;

Lalwani, Dilip ;

Kanani, Dipti ;

Patel, Diti ;

Manjandavida, Fairooz P. ;

Godhani, Frenali ;

Agarwal, Garima Amol ;

Ravulaparthi, Gayatri ;

Shilpa, Gondhi Vijay ;

Deshpande, Gunjan ;

Thakkar, Hansa .

INDIAN JOURNAL OF OPHTHALMOLOGY, 2021, 69 (07) :1670-1692

[9] The "guitar pick" sign: a novel sign of retrobulbar hemorrhage [J].

Theoret, Jonathan ;

Sanz, Geoffrey E. ;

Matero, David ;

Guth, Todd ;

Erickson, Catherine ;

Liao, Michael M. ;

Kendall, John L. .

CANADIAN JOURNAL OF EMERGENCY MEDICINE, 2011, 13 (03) :162-164

[10] Mucormycosis: The Scathing Invader [J].

Vasudevan, Biju ;

Hazra, Nandita ;

Shijith, K. P. ;

Neema, Shekhar ;

Vendhan, Senkadhir .

INDIAN JOURNAL OF DERMATOLOGY, 2021, 66 (04) :393-400

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