Rochon-Duvigneaud's syndrome

Alternative eponyms

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A neurological disorder of proptosis, exophthalmos, diplopia, and anaesthesia in the areas innervated by the trigeminal nerve, occurring with a lesion in the floor of the orbit.

Description

Rochon-Duvignaud's and Déjean's syndromes are neurological disorders belonging to a group with very similar clinical characteristics. Another syndrome in this group is Rollet's orbital apex syndrome. Clinical manifestations vary with the site and nature of the lesion. This sphenoidal syndrome typically manifests with local pain, proptosis, exophthalmos, diplopia, and anaesthesia in the areas innervated by the trigeminal nerve, occurring with a lesion in the floor of the orbit. It involves the third, fourth, the ophthalmic division of the fifth, and the sixth cranial nerves, all of which pass through the superior orbital fissure.

The entity was first described in 1896 by Rochon-Duvigneaud who applied the term "sphenoidal fissure syndrome."

Bibliography

  • A. Rochon-Duvigneaud:
    Quelques cas de paralysie de tous les nerfs orbitaires (ophthalmoplegie totale avec amaurosse en anesthésie dans le domaine de l’ophthalmique d’origine syphilitique).
    Archives d'ophthalmologie, Paris, 1896, 16: 746-760.
  • C. Déjean:
    Les syndromes paralytiques du sommet de l’orbite.
    Archives d'ophthalmologie, Paris, 1927, 44: 657-690.
  • C. Déjean:
    Le syndrome du plancher de l’orbite.
    Bulletins et mémoires de la société Francaise d'ophtalmologie, Paris, 1935, 48: 473-485.

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